出血性后部可逆性脑病综合征:新冠肺炎感染的罕见神经并发症

Esmaeil Khanmohammadi, Marziyeh Shahrabi, Mohsen Koosha
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引用次数: 0

摘要

新冠肺炎的神经系统并发症有很好的记录。然而,文献中关于与新冠肺炎相关的后部可逆性脑病综合征(PRES)的报道有限。在此,我们描述了一名有双相情感障碍和阿片类药物成瘾史的21岁男子,他因感染新冠肺炎而入院。高血压危象后,他突然出现痉挛性癫痫持续状态。患者接受了插管,并接受了抗癫痫和抗高血压治疗。他的脑部成像与PRES兼容。患者逐渐好转,最终在40天后出院。在下个月的随访中,患者能够拄着拐杖行走,没有癫痫病史。在本报告中,我们旨在强调新冠肺炎感染不太常见的脑血管并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hemorrhagic Posterior Reversible Encephalopathy Syndrome: A Rare Neurological Complication of COVID-19 Infection
Neurological complications of COVID-19 are well documented. However, there are limited reports of posterior reversible encephalopathy syndrome (PRES) associated with COVID-19 in the literature. Herein, we described a 21-year-old man with a history of bipolar disease and opioid addiction who was admitted because of COVID-19 infection. He suddenly experienced a convulsive status epilepticus following hypertension crisis. The patient was intubated and underwent antiepileptic and anti-hypertensive therapy. His brain imaging was compatible with PRES. The patient gradually improved and was eventually discharged after 40 days. On the next month follow-up, the patient was able to walk with a cane without a history of seizure. In this report, we aimed to highlight the less common cerebrovascular complication of COVID-19 infection.
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