Kumar Arooshi, Olivera Anlys, Mueller Nancy, Howard Jonathan, Lewis Ariane
Department of Neurology, NYU Langone Medical Center, New York, NY 10016, United States of America; Department of Neurology, NYC Health + Hospitals/Bellevue, New York, NY 10016, United States of America.
Department of Neurology, NYU Langone Medical Center, New York, NY 10016, United States of America; Department of Neurology, NYC Health + Hospitals/Bellevue, New York, NY 10016, United States of America.
J Neurol Sci. 2020 Nov 15;418:117146. doi: 10.1016/j.jns.2020.117146. Epub 2020 Sep 18.
• A patient developed encephalopathy two months after a mild case of COVID-19. • MRI Brain demonstrated extensive white matter lesions juxtacortically and subcortically. • Workup for infectious, paraneoplastic, toxic process was negative. • MBP was elevated, prompting diagnosis of post-infectious ADEM following COVID-19. • COVID-19 patients without hypoxia may have post-infectious leukoencephalopathy.
• 一名患者在轻症COVID-19感染两个月后出现脑病。
• 脑部MRI显示皮质旁和皮质下广泛的白质病变。
• 针对感染性、副肿瘤性、中毒性病变的检查结果均为阴性。
• 髓鞘碱性蛋白升高,促使诊断为COVID-19感染后急性播散性脑脊髓炎。
• 无缺氧的COVID-19患者可能发生感染后白质脑病。