tetano
Editor, Senior Moderator
Cureus
. 2022 Aug 20;14(8):e28204.
doi: 10.7759/cureus.28204. eCollection 2022 Aug.
COVID-19 Encephalopathy Presenting As New-Onset Seizure: A Case Report
Abdullah Baksh[SUP] 1 [/SUP], Alia Hadid[SUP] 1 [/SUP], Thiagarajan Jaiganesh[SUP] 1 [/SUP]
Affiliations
Abstract
Since its outbreak, it's been well-documented that coronavirus disease 2019 (COVID-19) can present with wide variety of neurological manifestations in absence of the usual respiratory symptoms. We report one such severe neurological manifestation of SARS-CoV-2 infection. To our knowledge, this is the first reported case of COVID-19 encephalopathy with CSF and MRI findings in the United Arab Emirates. We present a case of a 52-year-old female who presented with complaints of altered mentation, anosmia, headache, dizziness, weakness, lethargy, and vomiting. While in the emergency department she developed two generalized tonic-clonic seizure episodes, a more pronounced delirium, and tachypnea which required intubation. She was then admitted to the intensive care unit (ICU). She was COVID-19 positive and subsequent MRI revealed encephalopathy. She was discharged from ICU and was under long-term care at the time of case documentation.
Keywords: acute encephalitis; altered mental state; covid-19; emergency medicine physician; encephalopathy; generalized tonic clonic seizures; icu patients; leptomeningeal enhancement; sars-cov-2.
. 2022 Aug 20;14(8):e28204.
doi: 10.7759/cureus.28204. eCollection 2022 Aug.
COVID-19 Encephalopathy Presenting As New-Onset Seizure: A Case Report
Abdullah Baksh[SUP] 1 [/SUP], Alia Hadid[SUP] 1 [/SUP], Thiagarajan Jaiganesh[SUP] 1 [/SUP]
Affiliations
- PMID: 36158377
- PMCID: PMC9484586
- DOI: 10.7759/cureus.28204
Abstract
Since its outbreak, it's been well-documented that coronavirus disease 2019 (COVID-19) can present with wide variety of neurological manifestations in absence of the usual respiratory symptoms. We report one such severe neurological manifestation of SARS-CoV-2 infection. To our knowledge, this is the first reported case of COVID-19 encephalopathy with CSF and MRI findings in the United Arab Emirates. We present a case of a 52-year-old female who presented with complaints of altered mentation, anosmia, headache, dizziness, weakness, lethargy, and vomiting. While in the emergency department she developed two generalized tonic-clonic seizure episodes, a more pronounced delirium, and tachypnea which required intubation. She was then admitted to the intensive care unit (ICU). She was COVID-19 positive and subsequent MRI revealed encephalopathy. She was discharged from ICU and was under long-term care at the time of case documentation.
Keywords: acute encephalitis; altered mental state; covid-19; emergency medicine physician; encephalopathy; generalized tonic clonic seizures; icu patients; leptomeningeal enhancement; sars-cov-2.