A rare clinical presentation of COVID 19 : opsoclonus-myoclonus ataxia syndrome

Copyright (c) 2024 Adalet Altunsoy, Nizamettin Kemirtlek, Halime Araz, Ebru Bilge Dirik, Esragül Akıncı..

INTRODUCTION: Coronavirus disease 2019 (COVID-19) can have symptoms like many neurological diseases, and one of the rare forms of these presentations is opsoclonus-myoclonus ataxia syndrome (OMAS). The pathogenesis of OMAS in adults has not been clearly elucidated and OMAS can be fatal.

CASE PRESENTATION: We present a 71-year-old male patient who was admitted to the emergency department with complaints of involuntary tremor-like movements in his hands, feet and mouth, and speech impediment for three days, and was followed up with COVID-19. The patient was diagnosed with OMAS and clonazepam treatment was started. He died three days later due to respiratory arrest. Our case is the first case diagnosed with COVID-19-associated OMAS in Turkey.

DISCUSSION: OMAS has no definitive treatment. Early diagnosis and initiation of corticosteroids and intravenous immunoglobulin (IVIG) therapy, if necessary, can be life-saving. In COVID-19 patients with unexplained clinical findings, awareness of different and rare diseases and a multidisciplinary approach has vital importance.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:18

Enthalten in:

Journal of infection in developing countries - 18(2024), 2 vom: 29. Feb., Seite 188-194

Sprache:

Englisch

Beteiligte Personen:

Altunsoy, Adalet [VerfasserIn]
Kemirtlek, Nizamettin [VerfasserIn]
Araz, Halime [VerfasserIn]
Dirik, Ebru Bilge [VerfasserIn]
Akıncı, Esragül [VerfasserIn]

Links:

Volltext

Themen:

Adrenal Cortex Hormones
COVID-19
Case Reports
Corticosteroids
IVIG
Immunoglobulins, Intravenous
Intravenous immunoglobulin
Journal Article
Opsoclonus-myoclonus ataxia syndrome

Anmerkungen:

Date Completed 18.03.2024

Date Revised 27.03.2024

published: Electronic

Citation Status MEDLINE

doi:

10.3855/jidc.17927

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369740386