[Acute disseminated encephalomyelitis and myelitis associated with new coronavirus infection COVID-19. Case report].
L T AkhmedzhanovaOlga N VoskresenskayaA I IsaikinE V ErmilovaT I NasonovaP A ChernousovV V RusinPublished in: Terapevticheskii arkhiv (2021)
Acute disseminated encephalomyelitis (AEM) and acute transverse myelitis (OPM) are autoimmune demyelinating diseases of the central nervous system. Two clinical observations of AEM and OPM developed after suffering acute coronavirus infection (SARS-CoV-2) are presented. Differential diagnosis was carried out with multiple sclerosis, encephalitis of an infectious nature, compressive myelopathy, and opticomyelitis. Both observations show an almost complete recovery of lost functions. The pathogenetic mechanisms of the development of AEM and OPM in patients with coronavirus infection are discussed. The onset of central nervous system dysimmune lesion in the context of coronavirus infection makes it necessary to monitor the clinical situation with the involvement of a neurologist for timely diagnosis and determination of therapeutic tactics that can reduce the degree of disability of patients.
Keyphrases
- sars cov
- liver failure
- multiple sclerosis
- respiratory failure
- respiratory syndrome coronavirus
- drug induced
- aortic dissection
- case report
- end stage renal disease
- coronavirus disease
- chronic kidney disease
- newly diagnosed
- intensive care unit
- cerebrospinal fluid
- extracorporeal membrane oxygenation
- acute respiratory distress syndrome
- mechanical ventilation
- solid phase extraction