tetano
Editor, Senior Moderator
Intern Med
. 2023 May 10.
doi: 10.2169/internalmedicine.1344-22. Online ahead of print. A Case of Magnetic Resonance Imaging-negative Acute Inflammatory Myelopathy Following Severe Acute Respiratory Syndrome Coronavirus 2 Infection
Kaori Nagao[SUP] 1 [/SUP], Masato Kadoya[SUP] 1 [/SUP], Yukie Shimizu[SUP] 1 [/SUP], Nami Murahara[SUP] 1 [/SUP], Hiroko Fujii[SUP] 1 [/SUP], Chizuko Takechi[SUP] 1 [/SUP], Shigeaki Aono[SUP] 1 [/SUP]
Affiliations
A 55-year-old woman was admitted to our hospital because of gait disturbance and urinary retention that acutely emerged 1 week after severe acute respiratory syndrome coronavirus 2 infection. Acute inflammatory myelopathy was clinically suspected, based on bilateral lower-limb weakness with an extensor plantar response and an elevated immunoglobulin G level in the cerebrospinal fluid. Whole-spine magnetic resonance imaging findings were normal. The central conduction time was extended, based on somatosensory evoked potentials. Her lower-limb weakness was partially ameliorated with immunosuppressive therapy. Postinfectious myelopathy is a rare neurological complication of coronavirus disease 2019 and can develop with normal radiological findings.
Keywords: COVID-19; MRI-negative myelopathy; neurological complication; postinfectious myelopathy; somatosensory evoked potential; steroid.
. 2023 May 10.
doi: 10.2169/internalmedicine.1344-22. Online ahead of print. A Case of Magnetic Resonance Imaging-negative Acute Inflammatory Myelopathy Following Severe Acute Respiratory Syndrome Coronavirus 2 Infection
Kaori Nagao[SUP] 1 [/SUP], Masato Kadoya[SUP] 1 [/SUP], Yukie Shimizu[SUP] 1 [/SUP], Nami Murahara[SUP] 1 [/SUP], Hiroko Fujii[SUP] 1 [/SUP], Chizuko Takechi[SUP] 1 [/SUP], Shigeaki Aono[SUP] 1 [/SUP]
Affiliations
- PMID: 37164679
- DOI: 10.2169/internalmedicine.1344-22
A 55-year-old woman was admitted to our hospital because of gait disturbance and urinary retention that acutely emerged 1 week after severe acute respiratory syndrome coronavirus 2 infection. Acute inflammatory myelopathy was clinically suspected, based on bilateral lower-limb weakness with an extensor plantar response and an elevated immunoglobulin G level in the cerebrospinal fluid. Whole-spine magnetic resonance imaging findings were normal. The central conduction time was extended, based on somatosensory evoked potentials. Her lower-limb weakness was partially ameliorated with immunosuppressive therapy. Postinfectious myelopathy is a rare neurological complication of coronavirus disease 2019 and can develop with normal radiological findings.
Keywords: COVID-19; MRI-negative myelopathy; neurological complication; postinfectious myelopathy; somatosensory evoked potential; steroid.