Acute disseminated encephalitis (ADEM) as the first presentation of COVID-19; a case report

• DOI: 10.1016/j.amsu.2022.103511
• Publication Date: 2022-03-28T09:35:28Z
• Authors: Sara Esmaeili; Mohammad Hossein ...; Mohammad Mojtahed; Maziar Emamikhah; Mahin Jamshidi Ma...; Hossein Nazarian; Zahra Mirzaasgari
• Keywords: 03 medical and health sciences; 0302 clinical medicine; Case Report

INTRODUCTION: and importance: Neurological ailments are reported during and after SARS-COV-2 infection. CASE PRESENTATION: We report a 67-year-old Iranian man with COVID-19 infection and Acute Disseminated Encephalomyelitis (ADEM) whose neurological symptoms appeared before clinical and radiological pulmonary manifestations. CLINICAL DISCUSSION: COVID-19 can cause neurological complication without entering the CNS via para infectious inflammatory mechanisms. CONCLUSIONS: This report shows that ADEM might be among primary presentations of COVID-19.