Volume 1, Issue 2 (Spring 2020)
J Vessel Circ 2020, 1(2): 11-16 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Mozhdehipanah H, Paybast S, Bahadori R. Posterior Reversible Encephalopathy Syndrome as a Rare Presentation of Coronavirus Disease 2019: A Case Report and Literature Review. J Vessel Circ 2020; 1 (2) :11-16
URL: http://jvessels.muq.ac.ir/article-1-42-en.html
URL: http://jvessels.muq.ac.ir/article-1-42-en.html
1- Department of Neurology, Bou Ali Sina Hospital, Qazvin University of Medical Sciences, Department of Neurology, Bou Ali Sina Hospital
2- Neuroscience Research Center, Qom University of Medical Sciences, Department of Neurology, Beheshti Hospital
3- Department of Infectious Disease, Bou Ali Sina Hospital, Qazvin University of Medical Sciences, Department of Infectious Disease, Bou Ali Sina Hospital
2- Neuroscience Research Center, Qom University of Medical Sciences, Department of Neurology, Beheshti Hospital
3- Department of Infectious Disease, Bou Ali Sina Hospital, Qazvin University of Medical Sciences, Department of Infectious Disease, Bou Ali Sina Hospital
Abstract: (1540 Views)
Background: The novel coronavirus (COVID-19) disease is a global pandemic of different severity ranging from a mild respiratory disease to a severe septic shock. The current evidence is suggestive of the neuroinvasive potential of this disease. However, there are limited reports regarding posterior reversible encephalopathy syndrome (PRES) as a neurological complication of COVID-19 in the literature. Herein, we aimed to present a case of PRES in association with COVID-19 and review the current reports in this regard.
Case Report: This report presents a case of PRES complicated with intracerebral hemorrhage in a 39-year-old male with COVID-19, presenting with sudden blood pressure crisis accompanied by seizure and confusional state.
Conclusion: Although the main clinical symptoms of COVID-19 are confined to the respiratory tract, the virus has the potential to target the brain, thereby inducing encephalitic syndrome, such as PRES.
Case Report: This report presents a case of PRES complicated with intracerebral hemorrhage in a 39-year-old male with COVID-19, presenting with sudden blood pressure crisis accompanied by seizure and confusional state.
Conclusion: Although the main clinical symptoms of COVID-19 are confined to the respiratory tract, the virus has the potential to target the brain, thereby inducing encephalitic syndrome, such as PRES.
Type of Study: case report |
Subject:
vascular neurological diseases
Received: 2020/05/12 | Accepted: 2020/07/1 | Published: 2020/05/30
Received: 2020/05/12 | Accepted: 2020/07/1 | Published: 2020/05/30
References
1. 1. Pang J, Wang MX, Ang IYH, Tan SHX, Lewis RF, Chen JI, et al. Potential rapid diagnostics, vaccine and therapeutics for 2019 novel Coronavirus (2019-nCoV): a systematic review. J Clin Med 2020;9(3):E623. PMID: 32110875 [DOI:10.3390/jcm9030623]
2. Lu R, Zhao X, Li J, Niu P, Yang B, Wu H, et al. Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. Lancet 2020;395(10224):565-74. PMID: 32007145 [DOI:10.1016/S0140-6736(20)30251-8]
3. Sahin A, Erdogan A, Mutlu Agaoglu P, Dineri Y, Cakirci A, Senel M, et al. 2019 Novel Coronavirus (COVID-19) outbreak: a review of the current literature. EJMO 2020;4(1):1-7. Link [DOI:10.14744/ejmo.2020.12220]
4. Kolifarhood G, Aghaali M, Mozafar Saadati H, Taherpour N, Rahimi S, Izadi N, et al. Epidemiological and clinical aspects of COVID-19; a narrative review. Arch Acad Emerg Med 2020;8(1):e41. PMID: 32259130
5. Gao QY, Chen YX, Fang JY. 2019 Novel coronavirus infection and gastrointestinal tract. J Dig Dis 2020;21(3):125-6. PMID: 32096611 [DOI:10.1111/1751-2980.12851]
6. Mao L, Wang M, Chen S, He Q, Chang J, Hong C, et al. Neurological manifestations of hospitalized patients with COVID-19 in Wuhan, China. JAMA Neurol 2020;In Press. PMID: 32275288 [DOI:10.1101/2020.02.22.20026500]
7. Robinson CP, Busl KM. Neurologic manifestations of severe respiratory viral contagions. Crit Care Explor 2020;2(4):e0107. PMID: 32426749 [DOI:10.1097/CCE.0000000000000107]
8. Desforges M, Le Coupanec A, Dubeau P, Bourgouin A, Lajoie L, Dubé M, et al. Human coronaviruses and other respiratory viruses: underestimated opportunistic pathogens of the central nervous system? Viruses 2019;12(1):E14. PMID: 31861926 [DOI:10.3390/v12010014]
9. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel Coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020;382(8):727-33. PMID: 31978945 [DOI:10.1056/NEJMoa2001017]
10. Sorbello M, El-Boghdadly K, Di Giacinto I, Cataldo R, Esposito C, Falcetta S, et al. The Italian coronavirus disease 2019 outbreak: recommendations from clinical practice. Anaesthesia 2020;75(6):724-32. PMID: 32221973 [DOI:10.1111/anae.15049]
11. Filatov A, Sharma P, Hindi F, Espinosa PS. Neurological complications of Coronavirus disease (COVID-19): encephalopathy. Cureus 2020;12(3):e7352. PMID: 32328364 [DOI:10.7759/cureus.7352]
12. Poyiadji N, Shahin G, Noujaim D, Stone M, Patel S, Griffith B. COVID-19-associated acute hemorrhagic necrotizing encephalopathy: CT and MRI features. Radiology 2020; 2020:201187. PMID: 32228363 [DOI:10.1148/radiol.2020201187]
13. Kaya Y, Kara S, Akinci C, Kocaman AS. Transient cortical blindness in COVID-19 pneumonia; a PRES-like syndrome: case report. J Neurol Sci 2020;413:116858. PMID: 32387762 [DOI:10.1016/j.jns.2020.116858]
14. Franceschi AM, Ahmed O, Giliberto L, Castillo M. Hemorrhagic posterior reversible encephalopathy syndrome as a manifestation of COVID-19 infection. AJNR Am J Neuroradiol 2020;In Press. PMID: 32439646 [DOI:10.3174/ajnr.A6595]
15. Kishfy L, Casasola M, Banankhah P, Parvez A, Jan YJ, Shenoy AM, et al. Posterior reversible encephalopathy syndrome (PRES) as a neurological association in severe Covid-19. J Neurol Sci 2020;414:116943. PMID: 32474362 [DOI:10.1016/j.jns.2020.116943]
16. Coolen T, Lolli V, Sadeghi N, Rovai A, Trotta N, Taccone FS, et al. Early postmortem brain MRI findings in COVID-19 non-survivors. Neurology 2020;In Press. PMID: 32546654 [DOI:10.1101/2020.05.04.20090316]
17. Legriel S, Pico F, Azoulay E. Understanding posterior reversible encephalopathy syndrome. Berlin, Heidelberg: Springer; 2011. P. 631-53. Link [DOI:10.1007/978-3-642-18081-1_56]
18. Hefzy HM, Bartynski WS, Boardman JF, Lacomis D. Hemorrhage in posterior reversible encephalopathy syndrome: imaging and clinical features. AJNR Am J Neuroradiol 2009;30(7):1371-9. PMID: 19386731 [DOI:10.3174/ajnr.A1588]
19. Wu Y, Xu X, Chen Z, Duan J, Hashimoto K, Yang L, et al. Nervous system involvement after infection with COVID-19 and other coronaviruses. Brain Behav Immun 2020;87:18-22. PMID: 32240762 [DOI:10.1016/j.bbi.2020.03.031]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Owned by Qom University of Medical Sciences
Published by Qom University of Medical Sciences Press
eISSN: 2717-0357
Email: jvessels[at]muq.ac.ir
j.vessels.circul[at]gmail.com
