COVID-19 Encephalitis with SARS-CoV-2 Detected in Cerebrospinal Fluid Presenting as a Stroke Mimic.
J Stroke Cerebrovasc Dis
; 30(9): 105915, 2021 Sep.
Article
Dans Anglais
| MEDLINE | ID: covidwho-1253282
ABSTRACT
We report the case of a 35-year-old male with COVID-19 encephalitis presenting as a stroke mimic with sudden-onset expressive and receptive dysphasia, mild confusion and right arm incoordination. The patient received thrombolysis for a suspected ischaemic stroke, but later became febrile and SARS-CoV-2 was detected in cerebrospinal fluid. Electroencephalography demonstrated excess in slow waves, but neuroimaging was reported as normal. Respiratory symptoms were absent throughout and nasopharyngeal swab was negative for SARS-CoV-2. At the most recent follow-up, the patient had made a full neurological recovery. Clinicians should therefore consider testing for SARS-CoV-2 in CSF in patients who present with acute focal neurology, confusion and fever during the pandemic, even when there is no evidence of respiratory infection.
Mots clés
Texte intégral:
Disponible
Collection:
Bases de données internationales
Base de données:
MEDLINE
Sujet Principal:
ARN viral
/
Encéphalite virale
/
Accident vasculaire cérébral ischémique
/
Détection de l'acide nucléique du virus de la COVID-19
/
SARS-CoV-2
/
COVID-19
Type d'étude:
Rapport de cas
/
Étude de cohorte
/
Étude diagnostique
/
Étude pronostique
Limites du sujet:
Adulte
/
Humains
/
Mâle
langue:
Anglais
Revue:
J Stroke Cerebrovasc Dis
Thème du journal:
Maladies vasculaires
/
Cerveau
Année:
2021
Type de document:
Article
Pays d'affiliation:
J.jstrokecerebrovasdis.2021.105915
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