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Erschienen in: Neurological Sciences 3/2022

24.11.2021 | COVID-19 | COVID-19 Zur Zeit gratis

Post-COVID-19 longitudinally extensive transverse myelitis: is it a new entity?

verfasst von: Doruk Arslan, Pinar Acar-Ozen, Rahsan Gocmen, Bulent Elibol, Rana Karabudak, Asli Tuncer

Erschienen in: Neurological Sciences | Ausgabe 3/2022

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Abstract

Introduction

To the best of our knowledge, here we present two post-COVID19 longitudinally extensive transverse myelitis (LETM) with atypical presentations

Case presentations

A 44-year-old male who did not have any previous medical condition and a 73-year-old male foreigner who did not have any disease other than type 2 diabetes mellitus were admitted to our neurology clinic in the same period with similar clinical presentations of transverse myelitis. Upon admission, paraplegia and urinary-fecal incontinence were observed in their neurological examination. Neurological complaints had started within approximately 3–4 weeks following the resolution of the COVID-19 infection. Thoracic lower segment LETM was observed on spinal magnetic resonance imaging (MRI) in one of the patients, and long segment myelitis extending from the lower thoracic segment to the conus medullaris was observed in the other one. No significant diagnostic positivity was present in their diagnostic evaluation. In both cases, we assume a post-infectious etiology in terms of secondary immunogenic overreaction following COVID-19.

Conclusion

Our patients improved with multiple treatments such as methylprednisolone, intravenous immunoglobulin, and plasmapheresis. Whether post-infectious myelitis behaves differently from other viral infections after COVID-19 is currently unclear. Long lag times appear to be a post-infectious neurological complication resulting from the host response to the virus.
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Metadaten
Titel
Post-COVID-19 longitudinally extensive transverse myelitis: is it a new entity?
verfasst von
Doruk Arslan
Pinar Acar-Ozen
Rahsan Gocmen
Bulent Elibol
Rana Karabudak
Asli Tuncer
Publikationsdatum
24.11.2021
Verlag
Springer International Publishing
Schlagwort
COVID-19
Erschienen in
Neurological Sciences / Ausgabe 3/2022
Print ISSN: 1590-1874
Elektronische ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-021-05640-1

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