Hussein Haitham M
Regions Hospital Comprehensive Stroke Center, St Paul, MN, USA.
Neurohospitalist. 2021 Jan;11(1):84-86. doi: 10.1177/1941874420953323. Epub 2020 Sep 10.
Evidence of involvement of the nervous system in COVID-19 disease is accumulating. We describe a case of a 53-year-old man presented with classic syndrome of transient global amnesia with symptoms lasting less than 24 hours and mild transient unexplained fever. Workup including brain MRI, electroencephalogram, and chest X ray was negative and the patient was discharged. The day after discharge, the patient started to experience the classic respiratory and systemic COVID-19 illness and was eventually readmitted with hypoxic respiratory failure and positive COVID-19 test a week after the first hospital discharge. The case highlights the importance of neurological syndromes as presenting prodrome to the respiratory illness of COVID-19.
神经系统参与新冠病毒疾病的证据正在不断积累。我们描述了一例53岁男性病例,该患者表现为典型的短暂性全面遗忘综合征,症状持续不到24小时,并伴有轻度短暂性不明原因发热。包括脑部磁共振成像、脑电图和胸部X光在内的检查均为阴性,患者出院。出院后第二天,患者开始出现典型的新冠病毒呼吸道和全身性疾病症状,最终在首次出院一周后因低氧性呼吸衰竭和新冠病毒检测呈阳性而再次入院。该病例凸显了神经综合征作为新冠病毒呼吸道疾病前驱症状的重要性。