AlKetbi Reem, AlNuaimi Dana, AlMulla Muna, AlTalai Nouf, Samir Mohammed, Kumar Navin, AlBastaki Usama
Department of Radiology, Dubai Health Authority , PO Box 4545 Dubai, United Arab Emirates.
Department of Neurology, Dubai Health Authority, PO Box 4545 Dubai, United Arab Emirates.
Radiol Case Rep. 2020 Jun 6;15(9):1591-1595. doi: 10.1016/j.radcr.2020.06.001. eCollection 2020 Sep.
During the recent outbreak of coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 coronavirus, there is rising concerns about neurological complications of COVID-19. Fever, headache, and anosmia may occur early during the disease course. Other neurological sequalae such as encephalitis may occur in later phases. We report a case of acute myelitis in a 32-year old male COVID-19 positive patient who presented with a 2-day history of flu-like symptoms then sudden onset paraplegia and urinary retention. The incidence is not known and the pathogenesis of the disease behind this manifestation is still not fully understood. Nevertheless considering the broad differential diagnosis of acute myelitis, prompt clinical, and diagnostic work up was crucial to exclude other causes. Patients presenting with neurological symptoms such as loss of consciousness, ataxia, convulsions, status epilepticus, encephalitis, myelitis or neuritis should raise concerns for COVID-19 infection during this pandemic prompting early diagnosis and initiation of proper management.
在近期由严重急性呼吸综合征冠状病毒2（SARS-CoV-2）引起的2019冠状病毒病（COVID-19）疫情期间，人们对COVID-19的神经并发症的担忧日益增加。发热、头痛和嗅觉丧失可能在病程早期出现。其他神经后遗症，如脑炎，可能在后期出现。我们报告一例32岁男性COVID-19阳性患者发生急性脊髓炎的病例，该患者有2天的流感样症状病史，随后突然出现截瘫和尿潴留。其发病率尚不清楚，这种表现背后疾病的发病机制仍未完全了解。然而，考虑到急性脊髓炎的广泛鉴别诊断，及时的临床和诊断检查对于排除其他病因至关重要。在此次大流行期间，出现意识丧失、共济失调、抽搐、癫痫持续状态、脑炎、脊髓炎或神经炎等神经症状的患者应引起对COVID-19感染的关注，从而促使早期诊断并开始适当的治疗。
