Glavin, Diarmuid, Kelly, Denise, Wood, Greta Karen ORCID: 0000-0001-6098-2331, McCausland, Beth MS, Ellul, Mark Alexander ORCID: 0000-0002-6115-8245, Varatharaj, Aravinthan, Galea, Ian, Thomas, Rhys Huw, Michael, Benedict Daniel ORCID: 0000-0002-8693-8926 and Gallen, Brian
(2021)
COVID-19 Encephalitis with SARS-CoV-2 Detected in Cerebrospinal Fluid Presenting as a Stroke Mimic.
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 30 (9).
105915-.
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Abstract
We report the case of a 35-year-old male with COVID-19 encephalitis presenting as a stroke mimic with sudden-onset expressive and receptive dysphasia, mild confusion and right arm incoordination. The patient received thrombolysis for a suspected ischaemic stroke, but later became febrile and SARS-CoV-2 was detected in cerebrospinal fluid. Electroencephalography demonstrated excess in slow waves, but neuroimaging was reported as normal. Respiratory symptoms were absent throughout and nasopharyngeal swab was negative for SARS-CoV-2. At the most recent follow-up, the patient had made a full neurological recovery. Clinicians should therefore consider testing for SARS-CoV-2 in CSF in patients who present with acute focal neurology, confusion and fever during the pandemic, even when there is no evidence of respiratory infection.
Item Type: | Article |
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Uncontrolled Keywords: | Encephalitis, COVID-19, SARS-Cov-2, Stroke mimic |
Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Infection, Veterinary and Ecological Sciences |
Depositing User: | Symplectic Admin |
Date Deposited: | 23 Aug 2021 09:02 |
Last Modified: | 18 Jan 2023 21:33 |
DOI: | 10.1016/j.jstrokecerebrovasdis.2021.105915 |
Related URLs: | |
URI: | https://livrepository.liverpool.ac.uk/id/eprint/3134441 |