Post-COVID-19 Myelitis Manifesting as Partial Brown-Séquard Syndrome
Autor(a) principal: | |
---|---|
Data de Publicação: | 2024 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.46531/sinapse/CC/210074/2022 |
Resumo: | Myelitis is a rare neurological complication of COVID-19. We will describe a patient with post-COVID-19 myelitis manifesting as partial Brown-Séquard syndrome. A 33-year-old male presented with progressive weakness of the lower limbs, evolving over the previous week. Six weeks before, the patient had had COVID-19, from which he had already recovered. Neurological examination revealed right lower limb weakness and reduced pain sensation on the left lower limb, with a T5-T6 sensory level. Thoracic magnetic resonance imaging (MRI) revealed a right intra-medullary lesion spanning from T3 to T4 with T2 signal hyperintensity. Cerebrospinal fluid study was normal, and SARS-CoV-2 was undetected. After excluding active infection, the patient received methylprednisolone and the symptoms improved. One month later, the neurological exam was considered normal and there was a significant lesion reduction on MRI. SARS-CoV-2 infection should be considered as a possible aetiology for myelitis in all patients, even in those with mild infection or asymptomatic. |
id |
RCAP_9261e3fcf7cb27b9ae8bb199ee14ee46 |
---|---|
oai_identifier_str |
oai:sinapse.pt:article/76 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Post-COVID-19 Myelitis Manifesting as Partial Brown-Séquard SyndromeMielite Pós-COVID-19 Apresentando-se como Síndrome de Brown-Séquard ParcialCOVID-19/complicationsMyelitis, TransverseSARS-CoV-2COVID-19/complicaçõesMielite TransversaSARS-CoV-2Myelitis is a rare neurological complication of COVID-19. We will describe a patient with post-COVID-19 myelitis manifesting as partial Brown-Séquard syndrome. A 33-year-old male presented with progressive weakness of the lower limbs, evolving over the previous week. Six weeks before, the patient had had COVID-19, from which he had already recovered. Neurological examination revealed right lower limb weakness and reduced pain sensation on the left lower limb, with a T5-T6 sensory level. Thoracic magnetic resonance imaging (MRI) revealed a right intra-medullary lesion spanning from T3 to T4 with T2 signal hyperintensity. Cerebrospinal fluid study was normal, and SARS-CoV-2 was undetected. After excluding active infection, the patient received methylprednisolone and the symptoms improved. One month later, the neurological exam was considered normal and there was a significant lesion reduction on MRI. SARS-CoV-2 infection should be considered as a possible aetiology for myelitis in all patients, even in those with mild infection or asymptomatic.A mielite é uma complicação neurológica rara da COVID-19. Descrevemos o caso de um doente com mielite pós-COVID-19, que se apresenta como síndrome de Brown-Séquard parcial. Um doente do sexo masculino, 33 anos, recorre ao hospital por história de fraqueza progressiva dos membros inferiores com uma semana de evolução. Seis semanas antes, tinha tido COVID-19, entretanto recuperado. Ao exame neurológico, apresentava défice de força do membro inferior direito e hipostesia à esquerda, com nível sensitivo T5-T6. A ressonância magnética (RM) torácica revelou lesão intramedular hiperintensa direita em T3-T4. O estudo do líquido cefalorraquidiano foi normal e não foi detetado SARS-CoV-2. Após exclusão de infeção ativa, o doente iniciou metilprednisolona, observando-se melhoria clínica. Um mês depois, o exame neurológico era normal e houve marcada redução da lesão na RM. A infeção por SARS-CoV-2 deve ser considerada como uma possível etiologia de mielite em todos os doentes, mesmo naqueles com infeção ligeira ou assintomáticos.Portuguese Society of Neurology2024-04-20info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.46531/sinapse/CC/210074/2022https://doi.org/10.46531/sinapse/CC/210074/2022Sinapse; Vol. 22 No. 1 (2022): January - March; 34-37Sinapse; Vol. 22 N.º 1 (2022): Janeiro - Março; 34-372184-42401645-281Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://sinapse.pt/index.php/journal/article/view/76https://sinapse.pt/index.php/journal/article/view/76/72Copyright (c) 2024 Cristiana Silva, Ana Cláudia Lima, Isabel Santana, Sonia Batistainfo:eu-repo/semantics/openAccessSilva, CristianaLima, Ana CláudiaSantana, IsabelBatista, Sonia2024-04-30T10:08:50Zoai:sinapse.pt:article/76Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-04-30T10:08:50Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Post-COVID-19 Myelitis Manifesting as Partial Brown-Séquard Syndrome Mielite Pós-COVID-19 Apresentando-se como Síndrome de Brown-Séquard Parcial |
title |
Post-COVID-19 Myelitis Manifesting as Partial Brown-Séquard Syndrome |
spellingShingle |
Post-COVID-19 Myelitis Manifesting as Partial Brown-Séquard Syndrome Silva, Cristiana COVID-19/complications Myelitis, Transverse SARS-CoV-2 COVID-19/complicações Mielite Transversa SARS-CoV-2 |
title_short |
Post-COVID-19 Myelitis Manifesting as Partial Brown-Séquard Syndrome |
title_full |
Post-COVID-19 Myelitis Manifesting as Partial Brown-Séquard Syndrome |
title_fullStr |
Post-COVID-19 Myelitis Manifesting as Partial Brown-Séquard Syndrome |
title_full_unstemmed |
Post-COVID-19 Myelitis Manifesting as Partial Brown-Séquard Syndrome |
title_sort |
Post-COVID-19 Myelitis Manifesting as Partial Brown-Séquard Syndrome |
author |
Silva, Cristiana |
author_facet |
Silva, Cristiana Lima, Ana Cláudia Santana, Isabel Batista, Sonia |
author_role |
author |
author2 |
Lima, Ana Cláudia Santana, Isabel Batista, Sonia |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Silva, Cristiana Lima, Ana Cláudia Santana, Isabel Batista, Sonia |
dc.subject.por.fl_str_mv |
COVID-19/complications Myelitis, Transverse SARS-CoV-2 COVID-19/complicações Mielite Transversa SARS-CoV-2 |
topic |
COVID-19/complications Myelitis, Transverse SARS-CoV-2 COVID-19/complicações Mielite Transversa SARS-CoV-2 |
description |
Myelitis is a rare neurological complication of COVID-19. We will describe a patient with post-COVID-19 myelitis manifesting as partial Brown-Séquard syndrome. A 33-year-old male presented with progressive weakness of the lower limbs, evolving over the previous week. Six weeks before, the patient had had COVID-19, from which he had already recovered. Neurological examination revealed right lower limb weakness and reduced pain sensation on the left lower limb, with a T5-T6 sensory level. Thoracic magnetic resonance imaging (MRI) revealed a right intra-medullary lesion spanning from T3 to T4 with T2 signal hyperintensity. Cerebrospinal fluid study was normal, and SARS-CoV-2 was undetected. After excluding active infection, the patient received methylprednisolone and the symptoms improved. One month later, the neurological exam was considered normal and there was a significant lesion reduction on MRI. SARS-CoV-2 infection should be considered as a possible aetiology for myelitis in all patients, even in those with mild infection or asymptomatic. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-04-20 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.46531/sinapse/CC/210074/2022 https://doi.org/10.46531/sinapse/CC/210074/2022 |
url |
https://doi.org/10.46531/sinapse/CC/210074/2022 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://sinapse.pt/index.php/journal/article/view/76 https://sinapse.pt/index.php/journal/article/view/76/72 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2024 Cristiana Silva, Ana Cláudia Lima, Isabel Santana, Sonia Batista info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2024 Cristiana Silva, Ana Cláudia Lima, Isabel Santana, Sonia Batista |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Portuguese Society of Neurology |
publisher.none.fl_str_mv |
Portuguese Society of Neurology |
dc.source.none.fl_str_mv |
Sinapse; Vol. 22 No. 1 (2022): January - March; 34-37 Sinapse; Vol. 22 N.º 1 (2022): Janeiro - Março; 34-37 2184-4240 1645-281X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
mluisa.alvim@gmail.com |
_version_ |
1817543354780483584 |