New-Onset Seizure With Possible Limbic Encephalitis in a Patient With COVID-19 Infection: A Case Report and Review.
Riwaj BhagatBarbara KwiecinskaNolan SmithMatthew PetersChristopher ShaferAdriana PaladeVishwanath SagiPublished in: Journal of investigative medicine high impact case reports (2021)
With the outbreak of COVID-19 (coronavirus disease 2019) as a global pandemic, various of its neurological manifestations have been reported. We report a case of a 54-year-old male with new-onset seizure who tested positive for severe acute respiratory syndrome coronavirus 2 from a nasopharyngeal swab sample. Investigative findings, which included contrast-enhancing right posterior temporal lobe T2-hyperintensity on brain magnetic resonance imaging, right-sided lateralized periodic discharges on the electroencephalogram, and elevated protein level on cerebrospinal fluid analysis, supported the diagnosis of possible encephalitis from COVID-19 infection. The findings in this case are placed in the context of the existing literature.
Keyphrases
- coronavirus disease
- respiratory syndrome coronavirus
- sars cov
- magnetic resonance imaging
- cerebrospinal fluid
- systematic review
- contrast enhanced
- magnetic resonance
- case report
- temporal lobe epilepsy
- resting state
- computed tomography
- cerebral ischemia
- protein protein
- amino acid
- brain injury
- functional connectivity
- multiple sclerosis
- subarachnoid hemorrhage