Assistance Publique-Hôpitaux de Paris, Service de Neurologie, Hôpital Pitié-Salpêtrière, Paris, France.
Service de Neurologie, Centre Hospitalier Universitaire de la Guadeloupe, Pointe-à-Pitre, France.
Eur J Neurol. 2021 Oct;28(10):3533-3536. doi: 10.1111/ene.14726.
Patients with COVID-19 can have central or peripheral neurological manifestations.
The cases of two patients with acute cerebellar ataxia and myoclonus associated with COVID-19 are reported (with Video S1) and five previously reported patients are discussed.
Acute cerebellar ataxia and myoclonus started between 10 days and 6 weeks after the first manifestations of COVID-19. Opsoclonus or ocular flutter was present in four patients. Patients were treated with intravenous immunoglobulins and/or steroids except for one patient, resulting in a striking improvement within a week.
Acute cerebellar ataxia and myoclonus with or without opsoclonus belongs to the wide spectrum of neurological manifestations associated with COVID-19. It is important to recognize this possible manifestation since early treatment allows for rapid recovery.
COVID-19 患者可出现中枢或周围神经系统表现。
报告了两例与 COVID-19 相关的急性小脑性共济失调和肌阵挛病例(附视频 S1),并讨论了另外 5 例先前报道的病例。
急性小脑性共济失调和肌阵挛在 COVID-19 首发症状后 10 天至 6 周内出现。4 例患者存在眼球震颤或眼球扑动。除了 1 例患者外,其余患者均接受了静脉注射免疫球蛋白和/或类固醇治疗,结果在一周内显著改善。
伴有或不伴有眼球震颤的急性小脑性共济失调和肌阵挛属于 COVID-19 相关的广泛神经系统表现之一。认识到这种可能的表现很重要,因为早期治疗可实现快速康复。