Chua Audrey Marie U, Jamora Roland Dominic G, Jose Arianne Crizielle E, Anlacan Veeda Michelle M
Section of Neurology, Department of Internal Medicine, Cardinal Santos Medical Center, San Juan City, Philippines.
Department of Clinical Neurosciences, University of the East Ramon Magsaysay Memorial Medical Center, Quezon City, Philippines.
Case Rep Neurol. 2021 Jun 10;13(2):324-328. doi: 10.1159/000515815. eCollection 2021 May-Aug.
COVID-19 has primarily been reported as a respiratory illness, but involvement of other organ systems has been reported. We describe a case of a postpartum with COVID-19 who had cerebral vasculitis. The patient presented with headache, blurring of vision, right-sided body weakness, and incoordination. Cranial magnetic resonance imaging (MRI) and angiography (MRA) showed a small acute hemorrhage on the left occipital lobe with associated acute subarachnoid hemorrhage along the parietal and occipital convexities and bilateral moderate to severe narrowing of the cerebral vessels. The patient was discharged asymptomatic. On follow-up, patient had no residual neurologic deficits, and repeat cranial MRI/MRA showed complete resolution of the vasculitis. This report was compatible with the pattern of viral-induced vasculitis and provides support to the mechanism of COVID-19-associated neurologic manifestation.
新冠病毒病主要被报道为一种呼吸系统疾病，但也有其他器官系统受累的报道。我们描述了一例患有新冠病毒病的产后患者，该患者出现了脑血管炎。患者表现为头痛、视力模糊、右侧身体无力和共济失调。头颅磁共振成像（MRI）和血管造影（MRA）显示左枕叶有一小片急性出血，伴有沿顶叶和枕叶凸面的急性蛛网膜下腔出血以及双侧脑血管中度至重度狭窄。患者出院时无症状。随访时，患者无残留神经功能缺损，重复头颅MRI/MRA显示血管炎完全消退。本报告与病毒诱导的血管炎模式相符，并为新冠病毒病相关神经表现的机制提供了支持。
