Focal seizures with impaired awareness as long-term neurological complication of COVID-19: a case report.
Marco BozzaliAlberto GrassiniGiovanni MoranaMichela ZottaSara CabrasAlberto RomagnoloCarlo Alberto ArtusiElisa MontalentiMario Giorgio RizzoneDiego GarbossaElisa MontanaroMara CercignaniLeonardo LopianoPublished in: Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology (2021)
We report here the first case of a young individual otherwise healthy, who presented with frequent focal seizures with impaired awareness as a possible long-term complication of severe acute respiratory syndrome coronavirus-2 infection. Seizures were documented by electroencephalography and responded clinically and neuro-physiologically to antiseizure therapy. The patient underwent an extensive investigation including cerebrospinal fluid examination, conventional and quantitative brain magnetic resonance imaging, and 18-FDG positron emission tomography. Beyond the clinical interest, this case contributes to clarify the possible pathways by which SARS-CoV-2 may enter the central nervous system and cause long-term neurological complications.
Keyphrases
- sars cov
- respiratory syndrome coronavirus
- positron emission tomography
- computed tomography
- cerebrospinal fluid
- magnetic resonance imaging
- coronavirus disease
- pet imaging
- pet ct
- stem cells
- cerebral ischemia
- high resolution
- resting state
- functional connectivity
- white matter
- brain injury
- magnetic resonance
- middle aged
- blood brain barrier