tetano
Editor, Senior Moderator
BMJ Case Rep
. 2022 Oct 28;15(10):e250535.
doi: 10.1136/bcr-2022-250535.
MRI-negative myelitis associated with cerebral venous thrombosis after COVID-19 infection
Dea Masaad[SUP] 1 [/SUP], Shaza Youssef[SUP] 2 [/SUP], Mhd Firas Safadi[SUP] 3 [/SUP], Mohamad Shehadeh Agha[SUP] 1 [/SUP]
Affiliations
Abstract
Transverse myelitis and cerebral venous thrombosis represent some of the described neurological complications of coronavirus disease. A woman in her early 30s presented with headache, left-sided sensory symptoms and voiding difficulty. The patient also reported dry cough, fever, nasal congestion, anosmia and ageusia 2 weeks before presentation. The clinical examination showed sensory disturbances on the left side of the body, starting from the lower abdomen and extending to the left leg, which was consistent with transverse myelitis. The laboratory assessment confirmed a previous infection with coronavirus disease and excluded autoimmune entities. Radiological investigations revealed left transverse sinus thrombosis with no spinal cord abnormalities. The treatment was started with therapeutic anticoagulation and intravenous high-dose steroids. The patient showed significant improvement, and the neurological deficits resolved after 3 months. This is the first documented case of imaging-negative myelitis associated with cerebral venous thrombosis after coronavirus disease.
Keywords: Headache (including migraines); Neurology; Respiratory medicine; Spinal cord.
. 2022 Oct 28;15(10):e250535.
doi: 10.1136/bcr-2022-250535.
MRI-negative myelitis associated with cerebral venous thrombosis after COVID-19 infection
Dea Masaad[SUP] 1 [/SUP], Shaza Youssef[SUP] 2 [/SUP], Mhd Firas Safadi[SUP] 3 [/SUP], Mohamad Shehadeh Agha[SUP] 1 [/SUP]
Affiliations
- PMID: 36307141
- DOI: 10.1136/bcr-2022-250535
Abstract
Transverse myelitis and cerebral venous thrombosis represent some of the described neurological complications of coronavirus disease. A woman in her early 30s presented with headache, left-sided sensory symptoms and voiding difficulty. The patient also reported dry cough, fever, nasal congestion, anosmia and ageusia 2 weeks before presentation. The clinical examination showed sensory disturbances on the left side of the body, starting from the lower abdomen and extending to the left leg, which was consistent with transverse myelitis. The laboratory assessment confirmed a previous infection with coronavirus disease and excluded autoimmune entities. Radiological investigations revealed left transverse sinus thrombosis with no spinal cord abnormalities. The treatment was started with therapeutic anticoagulation and intravenous high-dose steroids. The patient showed significant improvement, and the neurological deficits resolved after 3 months. This is the first documented case of imaging-negative myelitis associated with cerebral venous thrombosis after coronavirus disease.
Keywords: Headache (including migraines); Neurology; Respiratory medicine; Spinal cord.