Immune-mediated cerebellitis following SARS-CoV-2 infection-a case report and review of the literature.

IF 2.3 4区 医学 Q3 NEUROSCIENCES
Journal of NeuroVirology Pub Date : 2023-08-01 Epub Date: 2023-08-17 DOI:10.1007/s13365-023-01163-x
Florence Plumacker, Nicolas Lambert, Pierre Maquet
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引用次数: 0

Abstract

The coronavirus disease 2019 (COVID-19) can be associated with a wide variety of neurological manifestations. Some of these manifestations might result from the ongoing systemic inflammatory state, but the pathophysiology of specific neurologic involvement is still unclear. In this article, we report a patient who developed an isolated cerebellar syndrome 9 weeks after an episode of COVID-19. The reverse-transcriptase polymerase chain reaction (RT-PCR) for SARS-CoV-2 was positive on cerebrospinal fluid (CSF). A post-infectious-autoimmune-cerebellitis following COVID-19 was suspected, and the patient was treated with corticosteroids, leading to a complete recovery within a few weeks. We review the other cases of COVID-19-associated cerebellar syndrome reported so far and discuss the potential pathophysiological mechanisms underlying this neurologic manifestation.

严重急性呼吸系统综合征冠状病毒2型感染后免疫介导的小脑炎——一例报告和文献综述。
2019冠状病毒病(新冠肺炎)可能与多种神经系统表现有关。其中一些表现可能是由持续的全身炎症状态引起的,但具体神经系统受累的病理生理学尚不清楚。在这篇文章中,我们报告了一名在新冠肺炎发作9周后出现孤立性小脑综合征的患者。严重急性呼吸系统综合征冠状病毒2型的逆转录聚合酶链式反应(RT-PCR)在脑脊液(CSF)中呈阳性。新冠肺炎后疑似感染后自身免疫性小脑炎,患者接受皮质类固醇治疗,几周内完全康复。我们回顾了迄今为止报道的其他COVID-19相关小脑综合征病例,并讨论了这种神经表现的潜在病理生理机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of NeuroVirology
Journal of NeuroVirology 医学-病毒学
CiteScore
6.60
自引率
3.10%
发文量
77
审稿时长
6-12 weeks
期刊介绍: The Journal of NeuroVirology (JNV) provides a unique platform for the publication of high-quality basic science and clinical studies on the molecular biology and pathogenesis of viral infections of the nervous system, and for reporting on the development of novel therapeutic strategies using neurotropic viral vectors. The Journal also emphasizes publication of non-viral infections that affect the central nervous system. The Journal publishes original research articles, reviews, case reports, coverage of various scientific meetings, along with supplements and special issues on selected subjects. The Journal is currently accepting submissions of original work from the following basic and clinical research areas: Aging & Neurodegeneration, Apoptosis, CNS Signal Transduction, Emerging CNS Infections, Molecular Virology, Neural-Immune Interaction, Novel Diagnostics, Novel Therapeutics, Stem Cell Biology, Transmissable Encephalopathies/Prion, Vaccine Development, Viral Genomics, Viral Neurooncology, Viral Neurochemistry, Viral Neuroimmunology, Viral Neuropharmacology.
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