Basal ganglia ischemia associated with sars-cov infection in infant: a case report

نویسندگان

چکیده

Case presentation: A one-month-old male presented with fever, flu-like symptoms, decreased level of consciousness and seizures. He tested positive for SARS-CoV-2. Cerebrospinal fluid (CSF) analysis revealed pleocitosis elevated protein, the viral panel herpes simplex virus (HSV) types 1 2, human herpesvirus (HHV) type 6, cytomegalovirus (CMV), Influenza A, B, Parechovirus e Enterovirus COVID negative. Brain magnetic resonance imaging (MRI) showed tumefactive lesions in basal ganglia, mostly thalamus, increased signal diffusion-weighted (DWI) evidence necrosis anaerobiosis spectroscopy. The patient was treated intravenous immunoglobulin at time, no significant response. On follow-up, he epileptic spasms hypsarrhythmia demonstrated by electroencephalography. Despite early introduction Vigabatrin high dose prednisolone, response to treatment poor.

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ژورنال

عنوان ژورنال: Arquivos De Neuro-psiquiatria

سال: 2023

ISSN: ['1678-4227', '0004-282X']

DOI: https://doi.org/10.1055/s-0043-1774623