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10.1016/j.jstrokecerebrovasdis.2021.105915

http://scihub22266oqcxt.onion/10.1016/j.jstrokecerebrovasdis.2021.105915
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34217071!8165128!34217071
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suck abstract from ncbi


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pmid34217071      J+Stroke+Cerebrovasc+Dis 2021 ; 30 (9): 105915
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  • COVID-19 Encephalitis with SARS-CoV-2 Detected in Cerebrospinal Fluid Presenting as a Stroke Mimic #MMPMID34217071
  • Glavin D; Kelly D; Wood GK; McCausland BM; Ellul MA; Varatharaj A; Galea I; Thomas RH; Michael BD; Gallen B
  • J Stroke Cerebrovasc Dis 2021[Sep]; 30 (9): 105915 PMID34217071show ga
  • We report the case of a 35-year-old male with COVID-19 encephalitis presenting as a stroke mimic with sudden-onset expressive and receptive dysphasia, mild confusion and right arm incoordination. The patient received thrombolysis for a suspected ischaemic stroke, but later became febrile and SARS-CoV-2 was detected in cerebrospinal fluid. Electroencephalography demonstrated excess in slow waves, but neuroimaging was reported as normal. Respiratory symptoms were absent throughout and nasopharyngeal swab was negative for SARS-CoV-2. At the most recent follow-up, the patient had made a full neurological recovery. Clinicians should therefore consider testing for SARS-CoV-2 in CSF in patients who present with acute focal neurology, confusion and fever during the pandemic, even when there is no evidence of respiratory infection.
  • |*COVID-19 Nucleic Acid Testing[MESH]
  • |Adult[MESH]
  • |COVID-19/cerebrospinal fluid/*diagnosis/virology[MESH]
  • |Diagnosis, Differential[MESH]
  • |Electroencephalography[MESH]
  • |Encephalitis, Viral/cerebrospinal fluid/*diagnosis/virology[MESH]
  • |Humans[MESH]
  • |Ischemic Stroke/*diagnosis[MESH]
  • |Magnetic Resonance Imaging[MESH]
  • |Male[MESH]
  • |Predictive Value of Tests[MESH]
  • |RNA, Viral/*cerebrospinal fluid[MESH]
  • |SARS-CoV-2/*genetics[MESH]


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