Case report;
Corticosteroids;
COVID-19;
Encephalitis;
Neurological manifestations;
Tocilizumab;
D O I:
10.1159/000530926
中图分类号:
R74 [神经病学与精神病学];
学科分类号:
摘要:
COVID-19 is a novel virus which causes a variety of clinical manifestations in the body some of which are still yet to be discovered. The main aim of our study is to highlight the neurological manifestations of COVID-19 as it is still new to the medical world and to emphasize the fact that the physicians have to be vary of the possibility that patients affected with COVID-19 can present with encephalitis. Only a few studies are available so far regarding the neurological manifestations of this novel virus which highlights the need of this study. We present a case series of four patients who were found to have COVID-19 encephalitis. There is still no disease defining test for diagnosis so the mainstay of diagnosis is exclusion of all the common causes of encephalitis. Brain MRI and CSF analysis performs an ancillary in the diagnostic tools. Our study also supports the use of IV Tocilizumab (4-8 mg/kg) and IV methylprednisolone (0.5-2 mg/kg) as possible treatment options with good results as the patients described in our case series responded well to these medications.
机构:
Univ Sarajevo, Clin Ctr, Dept Radiol, Bolnicka 25, Sarajevo 71000, Bosnia & HercegUniv Sarajevo, Clin Ctr, Dept Radiol, Bolnicka 25, Sarajevo 71000, Bosnia & Herceg
Vegar-Zubovic, S.
Izetbegovic, S.
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机构:
Univ Sarajevo, Clin Ctr, Dept Radiol, Bolnicka 25, Sarajevo 71000, Bosnia & HercegUniv Sarajevo, Clin Ctr, Dept Radiol, Bolnicka 25, Sarajevo 71000, Bosnia & Herceg
Izetbegovic, S.
Zukic, F.
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机构:
Univ Sarajevo, Clin Ctr, Dept Radiol, Bolnicka 25, Sarajevo 71000, Bosnia & HercegUniv Sarajevo, Clin Ctr, Dept Radiol, Bolnicka 25, Sarajevo 71000, Bosnia & Herceg
Zukic, F.
Jusufbegovic, M.
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机构:
Univ Sarajevo, Clin Ctr, Dept Radiol, Bolnicka 25, Sarajevo 71000, Bosnia & HercegUniv Sarajevo, Clin Ctr, Dept Radiol, Bolnicka 25, Sarajevo 71000, Bosnia & Herceg
Jusufbegovic, M.
Kristic, S.
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机构:
Univ Sarajevo, Clin Ctr, Dept Radiol, Bolnicka 25, Sarajevo 71000, Bosnia & HercegUniv Sarajevo, Clin Ctr, Dept Radiol, Bolnicka 25, Sarajevo 71000, Bosnia & Herceg
Kristic, S.
Prevljak, S.
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机构:
Univ Sarajevo, Clin Ctr, Dept Radiol, Bolnicka 25, Sarajevo 71000, Bosnia & HercegUniv Sarajevo, Clin Ctr, Dept Radiol, Bolnicka 25, Sarajevo 71000, Bosnia & Herceg
Prevljak, S.
Sehic, A.
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机构:
Radiol Technol, Fac Hlth Studies, Stjepana Tomica 1, Sarajevo 71000, Bosnia & HercegUniv Sarajevo, Clin Ctr, Dept Radiol, Bolnicka 25, Sarajevo 71000, Bosnia & Herceg
Sehic, A.
Julardzija, F.
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Radiol Technol, Fac Hlth Studies, Stjepana Tomica 1, Sarajevo 71000, Bosnia & HercegUniv Sarajevo, Clin Ctr, Dept Radiol, Bolnicka 25, Sarajevo 71000, Bosnia & Herceg
机构:
Mazandaran Univ Med Sci, Ramsar Imam Sajjad Hosp, Clin Res Dev Unit, Reprod & Sexual Hlth, Ramsar Campus, Ramsar, IranMazandaran Univ Med Sci, Ramsar Imam Sajjad Hosp, Clin Res Dev Unit, Reprod & Sexual Hlth, Ramsar Campus, Ramsar, Iran
Kazemi, Samiyeh
Fotokian, Zahra
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机构:
Babol Univ Med Sci, Hlth Res Inst, Nursing Care Res Ctr, Ramsar, IranMazandaran Univ Med Sci, Ramsar Imam Sajjad Hosp, Clin Res Dev Unit, Reprod & Sexual Hlth, Ramsar Campus, Ramsar, Iran
Fotokian, Zahra
Dafrazi, Mohammad Hasan Nadimi
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机构:
Mazandaran Univ Med Sci, Dept Cardiol, Ramsar Campus, Ramsar, IranMazandaran Univ Med Sci, Ramsar Imam Sajjad Hosp, Clin Res Dev Unit, Reprod & Sexual Hlth, Ramsar Campus, Ramsar, Iran
Dafrazi, Mohammad Hasan Nadimi
Shiroudbakhshi, Khatereh
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机构:
Mazandaran Univ Med Sci, Dept Pediat, Ramsar Campus, Ramsar, IranMazandaran Univ Med Sci, Ramsar Imam Sajjad Hosp, Clin Res Dev Unit, Reprod & Sexual Hlth, Ramsar Campus, Ramsar, Iran
Shiroudbakhshi, Khatereh
Larijani, Fatemeh
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机构:
Mazandaran Univ Med Sci, Ramsar Imam Sajjad Hosp, Clin Res Dev Unit, Master Geriatr Nursing, Ramsar Campus, Ramsar, IranMazandaran Univ Med Sci, Ramsar Imam Sajjad Hosp, Clin Res Dev Unit, Reprod & Sexual Hlth, Ramsar Campus, Ramsar, Iran