Cervical spinal cord infarction associated with coronavirus infectious disease (COVID)-19

Coronavirus disease (COVID-19) has a number of emerging neurological manifestations in addition to pneumonia and respiratory distress. In what follows, we describe a case of a previously healthy young man with severe COVID-19 who subsequently developed an acute flaccid paralysis. Work up revealed a...

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Autores principales: Kahan, Joshua, Gibson, Cameron J., Strauss, Sara B., Bronstein, Matthew, Winchell, Robert J., Barie, Philip S., Segal, Alan Z.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd. 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7938747/
https://www.ncbi.nlm.nih.gov/pubmed/33863542
http://dx.doi.org/10.1016/j.jocn.2021.02.027
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author Kahan, Joshua
Gibson, Cameron J.
Strauss, Sara B.
Bronstein, Matthew
Winchell, Robert J.
Barie, Philip S.
Segal, Alan Z.
author_facet Kahan, Joshua
Gibson, Cameron J.
Strauss, Sara B.
Bronstein, Matthew
Winchell, Robert J.
Barie, Philip S.
Segal, Alan Z.
author_sort Kahan, Joshua
collection PubMed
description Coronavirus disease (COVID-19) has a number of emerging neurological manifestations in addition to pneumonia and respiratory distress. In what follows, we describe a case of a previously healthy young man with severe COVID-19 who subsequently developed an acute flaccid paralysis. Work up revealed a lesion in his cervical spinal cord concerning for spinal infarction or transverse myelitis. He received empiric pulsed steroids without improvement. Taken together, we felt his presentation was most consistent with spinal cord infarction in the setting of critical illness with COVID-19. We believe this is a rare case of spinal cord stroke associated with COVID-19.
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spelling pubmed-79387472021-03-09 Cervical spinal cord infarction associated with coronavirus infectious disease (COVID)-19 Kahan, Joshua Gibson, Cameron J. Strauss, Sara B. Bronstein, Matthew Winchell, Robert J. Barie, Philip S. Segal, Alan Z. J Clin Neurosci Case Report Coronavirus disease (COVID-19) has a number of emerging neurological manifestations in addition to pneumonia and respiratory distress. In what follows, we describe a case of a previously healthy young man with severe COVID-19 who subsequently developed an acute flaccid paralysis. Work up revealed a lesion in his cervical spinal cord concerning for spinal infarction or transverse myelitis. He received empiric pulsed steroids without improvement. Taken together, we felt his presentation was most consistent with spinal cord infarction in the setting of critical illness with COVID-19. We believe this is a rare case of spinal cord stroke associated with COVID-19. Elsevier Ltd. 2021-05 2021-03-08 /pmc/articles/PMC7938747/ /pubmed/33863542 http://dx.doi.org/10.1016/j.jocn.2021.02.027 Text en © 2021 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Case Report
Kahan, Joshua
Gibson, Cameron J.
Strauss, Sara B.
Bronstein, Matthew
Winchell, Robert J.
Barie, Philip S.
Segal, Alan Z.
Cervical spinal cord infarction associated with coronavirus infectious disease (COVID)-19
title Cervical spinal cord infarction associated with coronavirus infectious disease (COVID)-19
title_full Cervical spinal cord infarction associated with coronavirus infectious disease (COVID)-19
title_fullStr Cervical spinal cord infarction associated with coronavirus infectious disease (COVID)-19
title_full_unstemmed Cervical spinal cord infarction associated with coronavirus infectious disease (COVID)-19
title_short Cervical spinal cord infarction associated with coronavirus infectious disease (COVID)-19
title_sort cervical spinal cord infarction associated with coronavirus infectious disease (covid)-19
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7938747/
https://www.ncbi.nlm.nih.gov/pubmed/33863542
http://dx.doi.org/10.1016/j.jocn.2021.02.027
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