tetano
Editor, Senior Moderator
World J Nucl Med
. 2021 Nov 25;20(4):405-407.
doi: 10.4103/wjnm.wjnm_28_21. eCollection Oct-Dec 2021.
Brain perfusion single-photon emission computerized tomography/computerized tomography: Stroke-like manifestations of COVID-19 with transient antiphospholipid elevation
Kwang J Chun[SUP] 1 [/SUP], Edgar Zamora[SUP] 2 [/SUP], Maria Coco[SUP] 3 [/SUP]
Affiliations
Abstract
COVID-19 is a viral respiratory disease associated with neurologic complications such as encephalitis or stroke in a minority of patients. The wide variety of neurologic manifestations with often unclear etiology may confound diagnosis and management. We present a young man admitted following an 8-day onset of self-resolving episodes of left hemiplegia and hemifacial droop. Diagnostic work up for seizures and stroke was largely negative. "Intra-ictal" ECD-single-photon emission computerized tomography/computerized tomography was consistent with right middle cerebral artery ischemia. Subsequent diagnostic work up revealed positive COVID-19 screening and newly-elevated antiphospholipid antibodies. Antiepileptic medications were discontinued, and the patient was successfully treated as an outpatient with corticosteroids leading to resolution of symptoms.
Keywords: Brain; COVID-19; ECD; severe acute respiratory syndrome coronavirus-2; transient antiphospholipid.
. 2021 Nov 25;20(4):405-407.
doi: 10.4103/wjnm.wjnm_28_21. eCollection Oct-Dec 2021.
Brain perfusion single-photon emission computerized tomography/computerized tomography: Stroke-like manifestations of COVID-19 with transient antiphospholipid elevation
Kwang J Chun[SUP] 1 [/SUP], Edgar Zamora[SUP] 2 [/SUP], Maria Coco[SUP] 3 [/SUP]
Affiliations
- PMID: 35018163
- PMCID: PMC8686742
- DOI: 10.4103/wjnm.wjnm_28_21
Abstract
COVID-19 is a viral respiratory disease associated with neurologic complications such as encephalitis or stroke in a minority of patients. The wide variety of neurologic manifestations with often unclear etiology may confound diagnosis and management. We present a young man admitted following an 8-day onset of self-resolving episodes of left hemiplegia and hemifacial droop. Diagnostic work up for seizures and stroke was largely negative. "Intra-ictal" ECD-single-photon emission computerized tomography/computerized tomography was consistent with right middle cerebral artery ischemia. Subsequent diagnostic work up revealed positive COVID-19 screening and newly-elevated antiphospholipid antibodies. Antiepileptic medications were discontinued, and the patient was successfully treated as an outpatient with corticosteroids leading to resolution of symptoms.
Keywords: Brain; COVID-19; ECD; severe acute respiratory syndrome coronavirus-2; transient antiphospholipid.