2021, Volume 14, Issue 2, pp 216 – 224

Neurological complications in COVID-19 – a diagnostic challenge

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Authors and Affiliations

Corresponding Author: Sorina Frunze, Resident Doctor, Neurology Department, Cluj-Napoca County Emergency Hospital, 43 Victor Babes street, Cluj-Napoca, Romania. Phone: +40743491496 E-mail: sorina_frunze@yahoo.com

Abstract

With the exponential growth of COVID-19 cases, the neurological complications reported during or after the infection became more common. There is limited knowledge regarding the pathophysiological mechanisms that are responsible for these complications. Recent data provides compelling evidence for the neurotropic nature of SARS-CoV-2, based on neurological manifestations reported during the current pandemic, as well as on previous experience with other coronaviruses. We present the case of a patient who developed headaches, motor deficit and dysphasia after respiratory COVID-19. Imaging tests showed heterogeneous central nervous system lesions (multiple subarachnoid hemorrhages and two ischemic strokes). Given the plethora of atypical neurological complications of COVID-19 described in the current literature, establishing a positive diagnosis and deciding on a treatment plan proved to be particularly challenging. We set to discuss some of the possible pathologies, hypothesized to be associated with COVID-19, that could lead to concomitant neurological lesions, similar to those noticed in our patient.

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About this article

PMC ID: 8169143
PubMed ID: 34104245
DOI: 10.25122/jml-2021-0045

Article Publishing Date (print): Mar-Apr 2021
Available Online: 

Journal information

ISSN Printing: 1844-122X
ISSN Online: 1844-3117
Journal Title: Journal of Medicine and Life

Copyright License: Open Access

This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use and redistribution provided that the original author and source are credited.


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