Open AccessNeurological dysfunction associated with COVID-19
Author(s) -
Filipa Sofia Camacho Alves da Silva,
Alexei Bucur,
Steeve Neves Rosado,
Sílvia Balhana,
Carlos Meneses-Oliveira
Publication year - 2021
Publication title -
revista brasileira de terapia intensiva
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.431
H-Index - 19
eISSN - 1982-4335
pISSN - 0103-507X
DOI - 10.5935/0103-507x.20210042
Subject(s) - medicine , pneumonia , covid-19 , myoclonus , pandemic , pediatrics , cerebrospinal fluid , weakness , ataxia , respiratory system , intensive care medicine , anesthesia , surgery , psychiatry , disease , infectious disease (medical specialty)
COVID-19 was declared a pandemic by the World Health Organization on March 11, 2020. The clinical presentation is predominantly respiratory symptoms; however, in the current literature, several neurological manifestations associated with SARS-CoV-2 infection have been described. The authors present the clinical case of a 45-year-old man hospitalized for pneumonia with a positive test result for SARS-CoV-2, without a neurological history, who, on the sixteenth day of hospitalization, presented a sudden change in his state of consciousness accompanied by conjugated right gaze deviation and myoclonus of the face and thoracic region to the left, followed by generalized tonic-clonic seizures associated with persistent left hemiparesis. The present study highlights a positive RT-PCR test for SARS-CoV-2 in cerebrospinal fluid. The patient progressed with gradual improvement, and the outcome was favorable.