Department of Neurology, Weill Cornell Medicine, New York, NY, USA.
Department of Surgery, Weill Cornell Medicine, New York, NY, USA.
J Clin Neurosci. 2021 May;87:89-91. doi: 10.1016/j.jocn.2021.02.027. Epub 2021 Mar 8.
Coronavirus disease (COVID-19) has a number of emerging neurological manifestations in addition to pneumonia and respiratory distress. In what follows, we describe a case of a previously healthy young man with severe COVID-19 who subsequently developed an acute flaccid paralysis. Work up revealed a lesion in his cervical spinal cord concerning for spinal infarction or transverse myelitis. He received empiric pulsed steroids without improvement. Taken together, we felt his presentation was most consistent with spinal cord infarction in the setting of critical illness with COVID-19. We believe this is a rare case of spinal cord stroke associated with COVID-19.
除了肺炎和呼吸窘迫外，冠状病毒病（COVID-19）还有许多新出现的神经系统表现。在下面的内容中，我们描述了一例先前健康的年轻男性患有严重 COVID-19 后出现急性弛缓性麻痹的病例。检查发现他的颈脊髓有一处病变，考虑脊髓梗死或横贯性脊髓炎。他接受了经验性脉冲类固醇治疗，但没有改善。综上所述，我们认为他的表现最符合 COVID-19 危重病并发脊髓梗死。我们认为这是一例与 COVID-19 相关的罕见脊髓卒案例。
