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COVID-19 长期神经系统并发症致意识障碍局灶性发作:病例报告。

Focal seizures with impaired awareness as long-term neurological complication of COVID-19: a case report.

机构信息

Department of Neuroscience "Rita Levi Montalcini", University of Torino, Via Cherasco 15, 10126, Turin, Italy.

Department of Neuroscience, Brighton & Sussex Medical School, University of Sussex, Brighton, East Sussex, UK.

出版信息

Neurol Sci. 2021 Jul;42(7):2619-2623. doi: 10.1007/s10072-021-05233-y. Epub 2021 Apr 16.

Abstract

We report here the first case of a young individual otherwise healthy, who presented with frequent focal seizures with impaired awareness as a possible long-term complication of severe acute respiratory syndrome coronavirus-2 infection. Seizures were documented by electroencephalography and responded clinically and neuro-physiologically to antiseizure therapy. The patient underwent an extensive investigation including cerebrospinal fluid examination, conventional and quantitative brain magnetic resonance imaging, and 18-FDG positron emission tomography. Beyond the clinical interest, this case contributes to clarify the possible pathways by which SARS-CoV-2 may enter the central nervous system and cause long-term neurological complications.

摘要

我们在此报告首例年轻个体病例,该个体 otherwise healthy,表现为频繁的局灶性意识障碍性癫痫发作,这可能是严重急性呼吸综合征冠状病毒 2 感染的长期并发症。癫痫发作通过脑电图记录,并通过抗癫痫治疗在临床和神经生理学上得到缓解。患者接受了广泛的检查,包括脑脊液检查、常规和定量脑磁共振成像以及 18-FDG 正电子发射断层扫描。除了临床意义外,该病例还有助于阐明 SARS-CoV-2 可能进入中枢神经系统并导致长期神经并发症的可能途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1160/8051830/65564d8b69ba/10072_2021_5233_Fig1_HTML.jpg

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