Vazquez-Guevara D, Badial-Ochoa S, Caceres-Rajo KM, Rodriguez-Leyva I. Catatonic syndrome as the presentation of encephalitis in association with COVID-19.
BMJ Case Rep 2021;
14:14/6/e240550. [PMID:
34088685 PMCID:
PMC8183207 DOI:
10.1136/bcr-2020-240550]
[Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
COVID-19 has shown different neurological manifestations even sometimes there are the initial or the main presentation.
The following case report is about a middle-aged woman who, over 3 days, developed fever, clinical neurological alterations (stupor, muteness, fixed gaze and catatonia), cerebrospinal fluid (16 lymphocytes) and an electroencephalogram (EEG) (4–6 Hz generalised activity) with characteristics of encephalitis. A serum IgG, IgM, nasopharyngeal swab PCR for SARS-CoV-2. The patient responded positively to support measures, symptomatic and corticosteroid treatment. At discharge, the patient was independent and improved considerably.
We report the presence of catatonia as a possible and atypical manifestation of encephalitis in association with COVID-19.
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