Lessons of the month 1: A case of rhombencephalitis as a rare complication of acute COVID-19 infection
Po Fung Wong(Shrewsbury and Telford Hospital NHS Trust), Sam Craik(Shrewsbury and Telford Hospital NHS Trust), Piers Newman(Shrewsbury and Telford Hospital NHS Trust), Annabel Makan(Shrewsbury and Telford Hospital NHS Trust), Koottalai Srinivasan(Shrewsbury and Telford Hospital NHS Trust), Emma Crawford(Shrewsbury and Telford Hospital NHS Trust), Devapriya Dev(Shrewsbury and Telford Hospital NHS Trust), Harmesh Moudgil(Shrewsbury and Telford Hospital NHS Trust), Nawaid Ahmad(Shrewsbury and Telford Hospital NHS Trust)
Cited by 118Open Access
Abstract
A 40-year-old man developed acute brainstem dysfunction 3 days after hospital admission with symptoms of the novel SARS-CoV-2 infection (COVID-19). Magnetic resonance imaging showed changes in keeping with inflammation of the brainstem and the upper cervical cord, leading to a diagnosis of rhombencephalitis. No other cause explained the patient's abnormal neurological findings. He was managed conservatively with rapid spontaneous improvement in some of his neurological signs and was discharged home with continued neurology follow up.
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