Case report;
Corticosteroids;
COVID-19;
Encephalitis;
Neurological manifestations;
Tocilizumab;
D O I:
10.1159/000530926
中图分类号:
R74 [神经病学与精神病学];
学科分类号:
摘要:
COVID-19 is a novel virus which causes a variety of clinical manifestations in the body some of which are still yet to be discovered. The main aim of our study is to highlight the neurological manifestations of COVID-19 as it is still new to the medical world and to emphasize the fact that the physicians have to be vary of the possibility that patients affected with COVID-19 can present with encephalitis. Only a few studies are available so far regarding the neurological manifestations of this novel virus which highlights the need of this study. We present a case series of four patients who were found to have COVID-19 encephalitis. There is still no disease defining test for diagnosis so the mainstay of diagnosis is exclusion of all the common causes of encephalitis. Brain MRI and CSF analysis performs an ancillary in the diagnostic tools. Our study also supports the use of IV Tocilizumab (4-8 mg/kg) and IV methylprednisolone (0.5-2 mg/kg) as possible treatment options with good results as the patients described in our case series responded well to these medications.
机构:
Sungkyunkwan Univ, Sch Pharm, Suwon, South Korea
Sungkyunkwan Univ, Dept Biohlth Regulatory Sci, Suwon, South KoreaSungkyunkwan Univ, Sch Pharm, Suwon, South Korea
Kim, Ju Hwan
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Yoon, Dongwon
Ko, Hwa Yeon
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Sungkyunkwan Univ, Sch Pharm, Suwon, South KoreaSungkyunkwan Univ, Sch Pharm, Suwon, South Korea
Ko, Hwa Yeon
Jung, Kyungyeon
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Sungkyunkwan Univ, Dept Biohlth Regulatory Sci, Suwon, South KoreaSungkyunkwan Univ, Sch Pharm, Suwon, South Korea
Jung, Kyungyeon
Sunwoo, Jun-Sang
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机构:
Kangbuk Samsung Hosp, Dept Neurol, Seoul, South KoreaSungkyunkwan Univ, Sch Pharm, Suwon, South Korea
Sunwoo, Jun-Sang
Shin, Won Chul
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机构:
Kyung Hee Univ, Coll Med, Dept Neurol, Kyung Hee Univ Hosp Gangdong, Seoul, South KoreaSungkyunkwan Univ, Sch Pharm, Suwon, South Korea
Shin, Won Chul
Byun, Jung-Ick
论文数: 0引用数: 0
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Kyung Hee Univ, Coll Med, Dept Neurol, Kyung Hee Univ Hosp Gangdong, Seoul, South KoreaSungkyunkwan Univ, Sch Pharm, Suwon, South Korea
Byun, Jung-Ick
Shin, Ju-Young
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Sungkyunkwan Univ, Sch Pharm, Suwon, South Korea
Sungkyunkwan Univ, Dept Biohlth Regulatory Sci, Suwon, South Korea
Sungkyunkwan Univ, Samsung Adv Inst Hlth Sci & Technol SAIHST, Dept Clin Res Design & Evaluat, Seoul, South KoreaSungkyunkwan Univ, Sch Pharm, Suwon, South Korea
机构:
Aligarh Muslim Univ, Dept Agr Microbiol, Aligarh 202002, UP, IndiaAligarh Muslim Univ, Dept Bot, Aligarh 202002, UP, India
Fatima, Saher
Rahman, Safikur
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BR Ambedkar Bihar Univ, Munshi Singh Coll, Muzaffarpur 845401, Bihar, IndiaAligarh Muslim Univ, Dept Bot, Aligarh 202002, UP, India
Rahman, Safikur
Kamal, Md. Amjad
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机构:
King Abdulaziz Univ, King Fahd Med Res Ctr, POB 80216, Jeddah 21589, Saudi Arabia
Enzymoics, 7 Peterlee Pl, Hebersham, NSW 2770, Australia
Novel Global Community Educ Fdn, 7 Peterlee Pl, Hebersham, NSW 2770, AustraliaAligarh Muslim Univ, Dept Bot, Aligarh 202002, UP, India
Kamal, Md. Amjad
Hassan, Md. Imtaiyaz
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Jamia Millia Islamia, Ctr Interdisciplinary Res Basic Sci, New Delhi 110025, IndiaAligarh Muslim Univ, Dept Bot, Aligarh 202002, UP, India
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West Virginia Univ, Dept Neurol, Rockefeller Neurosci Inst, Morgantown, WV 26506 USAWest Virginia Univ, Dept Neurol, Rockefeller Neurosci Inst, Morgantown, WV 26506 USA
Sriwastava, Shitiz
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Kataria, Saurabh
Tandon, Medha
论文数: 0引用数: 0
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Safdarjang Hosp, New Delhi, IndiaWest Virginia Univ, Dept Neurol, Rockefeller Neurosci Inst, Morgantown, WV 26506 USA
Tandon, Medha
Patel, Jenil
论文数: 0引用数: 0
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机构:
Univ Arkansas Med Sci, Fay W Boozman Coll Publ Hlth, Dept Epidemiol, Little Rock, AR 72205 USAWest Virginia Univ, Dept Neurol, Rockefeller Neurosci Inst, Morgantown, WV 26506 USA
Patel, Jenil
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Patel, Riddhi
Jowkar, Abbas
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Michigan State Univ, Dept Neurol, Mercy Hlth, Grand Rapids, MI USAWest Virginia Univ, Dept Neurol, Rockefeller Neurosci Inst, Morgantown, WV 26506 USA
Jowkar, Abbas
Daimee, Maha
论文数: 0引用数: 0
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MedStar Georgetown Univ, Dept Neurol, Washington, DC USAWest Virginia Univ, Dept Neurol, Rockefeller Neurosci Inst, Morgantown, WV 26506 USA
Daimee, Maha
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Bernitsas, Evanthia
Jaiswal, Preeti
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Walden Univ, Dept Publ Hlth, Minneapolis, MN USAWest Virginia Univ, Dept Neurol, Rockefeller Neurosci Inst, Morgantown, WV 26506 USA
Jaiswal, Preeti
Lisak, Robert P.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Missouri Healthcare, Dept Neurol, Columbia, MO USA
Dept Biochem Microbiol & Immunol, Detroit, MI USAWest Virginia Univ, Dept Neurol, Rockefeller Neurosci Inst, Morgantown, WV 26506 USA
机构:
Univ Maryland, Sch Med, Div Infect Dis, Inst Human Virol, 725 W Lombard St,Rm N354, Baltimore, MD 21201 USAUniv Maryland, Sch Med, Div Infect Dis, Inst Human Virol, 725 W Lombard St,Rm N354, Baltimore, MD 21201 USA
Saharia, Kapil K.
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Anjan, Shweta
Streit, Judy
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Univ Iowa, Carver Coll Med, Div Infect Dis, Dept Med, Iowa City, IA USAUniv Maryland, Sch Med, Div Infect Dis, Inst Human Virol, 725 W Lombard St,Rm N354, Baltimore, MD 21201 USA
Streit, Judy
Beekmann, Susan E.
论文数: 0引用数: 0
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机构:
Univ Iowa, Carver Coll Med, Div Infect Dis, Dept Med, Iowa City, IA USAUniv Maryland, Sch Med, Div Infect Dis, Inst Human Virol, 725 W Lombard St,Rm N354, Baltimore, MD 21201 USA
Beekmann, Susan E.
Polgreen, Philip M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Iowa, Carver Coll Med, Div Infect Dis, Dept Med, Iowa City, IA USAUniv Maryland, Sch Med, Div Infect Dis, Inst Human Virol, 725 W Lombard St,Rm N354, Baltimore, MD 21201 USA
Polgreen, Philip M.
Kuehnert, Matthew
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机构:
Hackensack Meridian Sch Med, Dept Med, Hackensack, NJ USAUniv Maryland, Sch Med, Div Infect Dis, Inst Human Virol, 725 W Lombard St,Rm N354, Baltimore, MD 21201 USA
Kuehnert, Matthew
Segev, Dorry L.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Univ, Sch Med, Dept Surg, Baltimore, MD 21205 USAUniv Maryland, Sch Med, Div Infect Dis, Inst Human Virol, 725 W Lombard St,Rm N354, Baltimore, MD 21201 USA
Segev, Dorry L.
Baddley, John W.
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h-index: 0
机构:
Univ Maryland, Sch Med, Div Infect Dis, Inst Human Virol, 725 W Lombard St,Rm N354, Baltimore, MD 21201 USAUniv Maryland, Sch Med, Div Infect Dis, Inst Human Virol, 725 W Lombard St,Rm N354, Baltimore, MD 21201 USA
Baddley, John W.
Miller, Rachel A.
论文数: 0引用数: 0
h-index: 0
机构:
Duke Univ, Sch Med, Dept Med, Div Infect Dis, Durham, NC 27706 USAUniv Maryland, Sch Med, Div Infect Dis, Inst Human Virol, 725 W Lombard St,Rm N354, Baltimore, MD 21201 USA
机构:
Univ Pelita Harapan, Fac Med, Dept Anesthesiol & Intens Care, Jl MH Thamrin Blvd 1100, Tangerang 15811, Banten, Indonesia
Siloam Hosp Kelapa Dua, Jl Kelapa Dua Raya 1001, Tangerang 15810, Banten, IndonesiaUniv Pelita Harapan, Fac Med, Dept Anesthesiol & Intens Care, Jl MH Thamrin Blvd 1100, Tangerang 15811, Banten, Indonesia
Hariyanto, Hori
Yahya, Corry Quando
论文数: 0引用数: 0
h-index: 0
机构:
Univ Indonesia, Fac Med, Jalan Diponegoro 77, Jakarta 10430, IndonesiaUniv Pelita Harapan, Fac Med, Dept Anesthesiol & Intens Care, Jl MH Thamrin Blvd 1100, Tangerang 15811, Banten, Indonesia
Yahya, Corry Quando
Aritonang, Ronald Christian Agustinus
论文数: 0引用数: 0
h-index: 0
机构:
Univ Pelita Harapan, Fac Med, Dept Anesthesiol & Intens Care, Jl MH Thamrin Blvd 1100, Tangerang 15811, Banten, Indonesia
Siloam Hosp Kelapa Dua, Jl Kelapa Dua Raya 1001, Tangerang 15810, Banten, IndonesiaUniv Pelita Harapan, Fac Med, Dept Anesthesiol & Intens Care, Jl MH Thamrin Blvd 1100, Tangerang 15811, Banten, Indonesia