Case Report: COVID-19-Associated ROHHAD-Like Syndrome.

It is known that the SARS-CoV-2 virus may cause neurologic damage. Rapid-onset obesity, hypoventilation, hypothalamus dysfunction, and autonomic dysregulation (ROHHAD) syndrome is a disease of unknown etiology with a progressive course and unclear outcomes. The etiology of ROHHAD syndrome includes genetic, epigenetic, paraneoplastic, and immune-mediated theories, but to our knowledge, viral-associated cases of the disease have not been described yet. Here we present the case of a 4-year-old girl who developed a ROHHAD syndrome-like phenotype after a COVID-19 infection and the results of 5 months of therapy. She had COVID-19 pneumonia, followed by electrolyte disturbances (hypernatremia and hyperchloremia), hypocorticism and hypothyroidism, central hypoventilation-requiring prolonged assisted lung ventilation-bulimia, and progressive obesity with hypertriglyceridemia, dyslipidemia, hyperuricemia, and hyperinsulinemia. The repeated MRI of the brain and hypothalamic-pituitary region with contrast enhancement showed mild post-hypoxic changes. Prader-Willi/Angelman syndrome as well as PHOX2B-associated variants was ruled out. Treatment with non-steroidal anti-inflammatory drugs and monthly courses of intravenous immunoglobulin led to a dramatic improvement. Herein the first description of ROHHAD-like syndrome is timely associated with a previous COVID-19 infection with possible primarily viral or immune-mediated hypothalamic involvement.

Impact of the dipole contribution on the terahertz emission of air-based plasma induced by tightly focused femtosecond laser pulses.

The present paper studies the generation mechanism of terahertz (THz) radiation from tightly focused femtosecond laser pulses in a gas medium. We measured the angular radiation pattern under different focusing conditions and observed that, with the deepening of focus, the angular radiation pattern changes and optical-to-THz conversion efficiency increases. The analysis of the observed phenomena led to the assumption that the dipole radiation prevails in most cases despite the existing conception regarding the dominating role of the quadrupole mechanism of radiation. Based on these assumptions, the transient photocurrent theory of the phenomenon presented in this paper was developed by us and used for the numerical fit of the experimental data.

Possibility of direct estimation of terahertz pulse electric field.

In this Letter, we introduce a new method of estimation of the terahertz (THz) field amplitude. This method uses second-harmonic generation (SHG) in the presence of THz and DC fields in gaseous media. We take into account contributions from both nonionized molecules and free plasma electrons to the nonlinear process of SHG. We analyze the applicability of this method of detection to obtaining correct information on the waveform and amplitude of broadband THz pulses.