Acute Disseminated Encephalomyelitis (Adem) Following Sars-Cov-2 Infection: A Case Report From Iran; [Encefalomielitis Diseminada Aguda (Adem) Tras Infeccion Por Sars-Cov-2: Caso Clinico En Iran] Publisher



Asadollahzade E¹ ; Azhdari S² ; Johari MS³ ; Naser Moghadasi A⁴
Source: Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica Published:2022

Abstract

The new coronavirus disease 2019 (COVID-19) outbreak has rapidly spread throughout the world, becoming a serious public health problem. COVID-19, in addition to respiratory symptoms, has neurotropic characteristics that can impact the nervous system. We present a 22-year-old female who developed diplopia and numbness of her limbs eight days after affecting by COVID-19 and she showed a left-sided outward gaze palsy without any history of previous a specific illness or medication. Supratentorial, infratentorial, and cervical cord enhancing plaques confirmed an acute demyelinating process in favor of Acute disseminated encephalomyelitis (ADEM). Her oligoclonal bands (OCB) were positive as well. As a result, a provisional diagnosis of ADEM was made. Her condition improved dramatically after starting corticosteroids and rituximab. © 2022