Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Case Report Volume 7 Issue 8

Case Report: A Case of Post-covid19 Encephalitis Presented with Tonic-Clonic Seizures

Lamees Khalil*, Layth Al-Karaja, Amani W Alirr, Isra AA Baniodeh, Su’ad M Udwan, Rua MA Hussein and Ihab Sa'di Dababseh

Al-Quds University, Jerusalem, Palestine

*Corresponding Author: Lamees Khalil, Al-Quds University, Jerusalem, Palestine.

Received: June 29, 2023; Published: July 05, 2023

Abstract

COVID-19 infection causes multiple manifestations, including respiratory, gastrointestinal, and others. In our case, we concentrate on neurological manifestations such as cerebrovascular accidents, and encephalitis.

Postinfectious encephalitis is an immune-mediated disease that appears weeks after infection it presents with seizures and confusion, with MRI, EEG, and CSF analysis, the diagnosis can be made, using IVIG and steroids can treat the disease.

At first, our case presented with pneumonia, but one week later, she developed tonic-clonic seizures. With multiple investigations and laboratory findings, the diagnosis of post covid encephalitis was considered and treated effectively.

 Keywords: COVID-19; Central Nervous System (CNS)

References

  1. Zhou Z., et al. “Understanding the neurotropic characteristics of SARS-CoV-2: From neurological manifestations of COVID-19 to potential neurotropic mechanisms”. Journal of Neurology 267 (2020): 2179-2184.v
  2. Li YC., et al. “The neuroinvasive potential of SARS-CoV2 may play a role in the respiratory failure of COVID-19 patients”. Journal of Medical Virology 92 (2020): 552-555.
  3. Liotta EM., et al. “Frequent neurologic manifestations and encephalopathy-associated morbidity in Covid-19 patients”. Annals of Clinical and Translational Neurology (2020).
  4. Siow I., et al. “Encephalitis as a neurological complication of COVID-19: a systematic review and meta-analysis of incidence, outcomes, and predictors”. European Journal of Neurology 28 (2021): 3491-3502.
  5. Moriguchi T., et al. “A first case of meningitis/encephalitis associated with SARS-Coronavirus-2”. The International Journal of Infectious Diseases 94 (2020): 55-58.
  6. Ye M., et al. “Encephalitis as a clinical manifestation of COVID-19”. Brain, Behavior, and Immunity 88 (2020): 945-946.
  7. Pilotto A., et al. “Clinical presentation and outcomes of SARS-CoV-2 related encephalitis: The ENCOVID multicentre study”. The Journal of Infectious Diseases 223 (2020): 28-37.
  8. Venkatesan A and Geocadin RG. “Diagnosis and management of acute encephalitis: A practical approach”. Neurology Clinical Practice 4 (2014): 206-215.
  9. Ellul M and Solomon T. “Acute encephalitis-diagnosis and management”. Clinical Medicine Journal 18 (2018): 155.
  10. Siow I., et al. “Encephalitis as a neurological complication of COVID-19: a systematic review and meta-analysis of incidence, outcomes, and predictors”. European Journal of Neurology 28 (2021): 3491-3502.
  11. Manzano GS., et al. “Acute disseminated encephalomyelitis and acute hemorrhagic leukoencephalitis following COVID-19: systematic review and meta-synthesis”. Neurology Neuroimmunology and Neuroinflammation 8 (2021).
  12. Abildúa A., et al. “Encephalopathy and encephalitis during acute SARS-CoV-2 infection. Spanish Society of Neurology COVID-19 Registry”. Neurologia 36 (2021): 127-134.
  13. A Sukochevaab Person., et al. “Analysis of Post Covid-19 Condition and Its Overlap with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome”. Journal of Advanced Research, Elsevier, 26 Nov. (2021).
  14. Urso Lidia., et al. “The Case of Encephalitis in a COVID-19 Pediatric Patient”. Neurological Sciences: Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, U.S. National Library of Medicine, Jan. (2022).
  15. Fukushima Elisa Fumi Akagi., et al. “Post-Infectious Focal Encephalitis Due to COVID-19”. Germs, U.S. National Library of Medicine 15 (2021).
  16. Spence J David., et al. “Mechanisms of Stroke in COVID-19”. Cerebrovascular Diseases, Karger Publishers, 20 July (2020).
  17. Nazari Shahrzad., et al. “Central Nervous System Manifestations in COVID‐19 Patients: A Systematic Review and Meta‐Analysis”. Brain and Behavior5 (2021).
  18. Najjar Souhel., et al. “Central Nervous System Complications Associated with SARS-COV-2 Infection: Integrative Concepts of Pathophysiology and Case Reports”. Journal of Neuroinflammation1 (2020).

Citation

Citation: Lamees Khalil., et al. “Case Report: A Case of Post-covid19 Encephalitis Presented with Tonic-Clonic Seizures”.Acta Scientific Medical Sciences 7.8 (2023): 23-28.

Copyright

Copyright: © 2023 Lamees Khalil., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

Indexed In





Contact US