COVID-19-Associated Encephalitis Mimicking Glial Tumor.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 32479911.
- Also identified by DOI 10.1016/j.wneu.2020.05.194 and PMC identifier 7256557.
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Abstract
Reports on neurologic manifestations of coronavirus disease 2019 (COVID-19) have attracted broad attention. We present an unusual case of COVID-19-associated encephalitis mimicking a glial tumor. A 35-year-old woman presented with headache and seizures. T2 fluid-attenuated inverse recovery imaging showed hyperintensities in the left temporal lobe. Magnetic resonance spectroscopy showed an elevated choline peak. Imaging findings were suggestive of high-grade glioma. Antiepileptic medication failed to achieve seizure control. A left anterior temporal lobectomy was performed. The patient had no postoperative deficits, and her symptoms completely improved. Histologic examination revealed encephalitis. Postoperatively, our patient tested positive for COVID-19. Our case raises awareness of neurologic manifestations of the disease and their potential to mimic glial tumors. For prompt diagnosis and prevention of transmission, clinicians should consider COVID-19 in patients with similar presentation.
Medical subject headings
- Betacoronavirus
- Coronavirus Infections
- Diagnosis, Differential
- Encephalitis
- Glioma
- Pneumonia, Viral