Pulmonary and Critical Care Medicine, Baylor Scott and White Medical Center, Waxahachie, Texas, USA.
Pulmonary and Critical Care Medicine, Baylor Scott and White Medical Center, Waxahachie, Texas, USA
BMJ Case Rep. 2021 Mar 24;14(3):e240576. doi: 10.1136/bcr-2020-240576.
COVID-19 has now emerged from a respiratory illness to a systemic viral illness with multisystem involvement. There is still a lot to learn about this illness as new disease associations with COVID-19 emerge consistently. We present a unique case of a neurological manifestation of a patient with structural brain disease who was COVID-19 positive and developed mental status changes, new-onset seizures and findings suggestive of viral meningitis on lumbar puncture. We also review the literature and discuss our case in the context of the other cases reported. We highlight the value of considering seizures and encephalopathy as one of the presenting features of COVID-19 disease.
COVID-19 现已从一种呼吸道疾病发展为一种全身性病毒疾病，涉及多个系统。随着与 COVID-19 不断出现的新疾病关联，我们仍有很多需要了解。我们介绍了一例结构性脑疾病患者的神经系统表现，该患者 COVID-19 检测呈阳性，出现精神状态改变、新发性癫痫发作和腰椎穿刺提示病毒性脑膜炎的发现。我们还回顾了文献，并根据报告的其他病例讨论了我们的病例。我们强调了将癫痫发作和脑病视为 COVID-19 疾病的一种表现特征的重要性。
