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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 Lopiano
Published 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.
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