1. COVID-19 associated with encephalomyeloradiculitis and positive anti-aquaporin-4 antibodies: Cause or coincidence?
- Author
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Corrêa DG, de Souza Lima FC, da Cruz Bezerra D, Coutinho AC Júnior, and Hygino da Cruz LC Júnior
- Subjects
- Azathioprine therapeutic use, Brain diagnostic imaging, COVID-19 diagnostic imaging, Encephalomyelitis diagnostic imaging, Encephalomyelitis immunology, Female, Humans, Immunosuppressive Agents therapeutic use, Magnetic Resonance Imaging, Middle Aged, Neuromyelitis Optica diagnostic imaging, Neuromyelitis Optica etiology, Plasma Exchange, Radiculopathy diagnostic imaging, Radiculopathy immunology, Spine diagnostic imaging, Aquaporin 4 immunology, Autoantibodies analysis, Autoimmune Diseases etiology, COVID-19 complications, Encephalomyelitis etiology, Radiculopathy etiology
- Abstract
Neurologic complications are being recognized as important outcomes of coronavirus disease 2019 (COVID-19). Pathogenesis is varied and incompletely understood, and may include neuroinvasion, indirect post-infectious neuroinflammation, and cerebrovascular pathologies. We present a case of COVID-19-related encephalomyeloradiculitis with clinical and magnetic resonance imaging characteristics of neuromyelitis optica spectrum disorders that was associated with anti-aquaporin-4 antibodies. Our case suggests post-infectious autoimmunity as a mechanism in at least a subset of patients with COVID-19-related neurologic disease. more...
- Published
- 2021
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