COVID-19-Associated Encephalitis Mimicking Glial Tumor.
World Neurosurg
; 140: 46-48, 2020 08.
Article
in English
| MEDLINE | ID: covidwho-596185
ABSTRACT
BACKGROUND:
Reports on neurologic manifestations of coronavirus disease 2019 (COVID-19) have attracted broad attention. We present an unusual case of COVID-19-associated encephalitis mimicking a glial tumor. CASE DESCRIPTION A 35-year-old woman presented with headache and seizures. T2 fluid-attenuated inverse recovery imaging showed hyperintensities in the left temporal lobe. Magnetic resonance spectroscopy showed an elevated choline peak. Imaging findings were suggestive of high-grade glioma. Antiepileptic medication failed to achieve seizure control. A left anterior temporal lobectomy was performed. The patient had no postoperative deficits, and her symptoms completely improved. Histologic examination revealed encephalitis. Postoperatively, our patient tested positive for COVID-19.CONCLUSIONS:
Our case raises awareness of neurologic manifestations of the disease and their potential to mimic glial tumors. For prompt diagnosis and prevention of transmission, clinicians should consider COVID-19 in patients with similar presentation.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Coronavirus Infections
/
Diagnosis, Differential
/
Encephalitis
/
Betacoronavirus
/
Glioma
Type of study:
Case report
/
Diagnostic study
/
Observational study
Topics:
Long Covid
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
World Neurosurg
Journal subject:
Neurosurgery
Year:
2020
Document Type:
Article
Affiliation country:
J.wneu.2020.05.194
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