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Catatonic syndrome as the presentation of encephalitis in association with COVID-19

COVID-19 has shown different neurological manifestations even sometimes there are the initial or the main presentation. The following case report is about a middle-aged woman who, over 3 days, developed fever, clinical neurological alterations (stupor, muteness, fixed gaze and catatonia), cerebrospi...

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Detalles Bibliográficos
Autores principales: Vazquez-Guevara, Damaris, Badial-Ochoa, Sandra, Caceres-Rajo, Karen M, Rodriguez-Leyva, Ildefonso
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8183207/
https://www.ncbi.nlm.nih.gov/pubmed/34088685
http://dx.doi.org/10.1136/bcr-2020-240550
Descripción
Sumario:COVID-19 has shown different neurological manifestations even sometimes there are the initial or the main presentation. The following case report is about a middle-aged woman who, over 3 days, developed fever, clinical neurological alterations (stupor, muteness, fixed gaze and catatonia), cerebrospinal fluid (16 lymphocytes) and an electroencephalogram (EEG) (4–6 Hz generalised activity) with characteristics of encephalitis. A serum IgG, IgM, nasopharyngeal swab PCR for SARS-CoV-2. The patient responded positively to support measures, symptomatic and corticosteroid treatment. At discharge, the patient was independent and improved considerably. We report the presence of catatonia as a possible and atypical manifestation of encephalitis in association with COVID-19.