Yıl: 2021 Cilt: 27 Sayı: Özel Sayı 1 Sayfa Aralığı: 49 - 51 Metin Dili: İngilizce DOI: 10.4274/tnd.2021.25675 İndeks Tarihi: 20-01-2022

A Case Report of Acute Disseminated Encephalomyelitis in a Pregnant Woman After COVID-19 Infection

Öz:
A 32-year-old multiparous woman at 29 weeks of gestation developed dizziness, fainting, meaningless and difficult speech, stiffness in the extremities, and movement limitation following the non-severe coronavirus disease-2019 (COVID-19) infection. Magnetic resonance imaging of the brain revealed hyperintense lesions in the white matter on T2-weighted and fluid-attenuated inversion recovery (FLAIR) sequences. The COVID-19 nasopharyngeal swab test in our center resulted negative; however, the serum COVID-19 antibody was positive. The cerebrospinal fluid was clear, no pathogen was reproduced in the culture, and the oligoclonal band was negative. Intravenous pulse steroid therapy and six cycles of plasmapheresis were administered. The symptoms improved partially; however, full recovery could not be achieved despite the treatment. This case emphasizes that acute disseminated encephalomyelitis, which can have severe consequences, should be considered in the differential diagnosis of neurological symptoms in pregnant women who are infected with COVID-19.
Anahtar Kelime:

Gebelikte COVID-19 Enfeksiyonu Sonrası Gelişen Akut Dissemine Ensefalomiyelit Olgu Sunumu

Öz:
Otuz iki yaşında, 29 haftalık hamile bir kadında, şiddetli olmayan koronavirüs hastalığı-2019 (COVID-19) enfeksiyonunun ardından baş dönmesi, bayılma, anlamsız ve zor konuşma, ekstremitelerde sertlik ve hareket kısıtlılığı gelişti. Beyin manyetik rezonans görüntülemede beyaz cevherde T2 ağırlıklı ve sıvı sıvı zayıflatılmış inversiyon kurtarma (fluid-attenuated inversion recovery, FLAIR) sekanslarda hiperintens lezyonlar gözlendi. Merkezimizde yapılan COVID-19 nazofaringeal sürüntü testi negatif sonuçlanırken, serum COVID-19 antikor testi pozitif çıktı. Beyin omurilik sıvısı berraktı, kültürde patojen üremedi ve oligoklonal bant negatifti. İntravenöz pulse steroid tedavisi ve altı kür plazmaferez uygulandı. Tedaviye rağmen semptomlar kısmen düzelse de tam iyileşme sağlanamadı. Bu olgu, COVID-19 ile enfekte gebelerde nörolojik semptomların varlığında ciddi sonuçları olabilen akut dissemine ensefalomiyelitin ayırıcı tanıda düşünülmesi gerektiğini vurgulamaktadır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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APA KIZILIRMAK R, özalp m, Osmanağaoğlu M, Boz C (2021). A Case Report of Acute Disseminated Encephalomyelitis in a Pregnant Woman After COVID-19 Infection. , 49 - 51. 10.4274/tnd.2021.25675
Chicago KIZILIRMAK RUKİYE,özalp miraç,Osmanağaoğlu Mehmet Armağan,Boz Cavit A Case Report of Acute Disseminated Encephalomyelitis in a Pregnant Woman After COVID-19 Infection. (2021): 49 - 51. 10.4274/tnd.2021.25675
MLA KIZILIRMAK RUKİYE,özalp miraç,Osmanağaoğlu Mehmet Armağan,Boz Cavit A Case Report of Acute Disseminated Encephalomyelitis in a Pregnant Woman After COVID-19 Infection. , 2021, ss.49 - 51. 10.4274/tnd.2021.25675
AMA KIZILIRMAK R,özalp m,Osmanağaoğlu M,Boz C A Case Report of Acute Disseminated Encephalomyelitis in a Pregnant Woman After COVID-19 Infection. . 2021; 49 - 51. 10.4274/tnd.2021.25675
Vancouver KIZILIRMAK R,özalp m,Osmanağaoğlu M,Boz C A Case Report of Acute Disseminated Encephalomyelitis in a Pregnant Woman After COVID-19 Infection. . 2021; 49 - 51. 10.4274/tnd.2021.25675
IEEE KIZILIRMAK R,özalp m,Osmanağaoğlu M,Boz C "A Case Report of Acute Disseminated Encephalomyelitis in a Pregnant Woman After COVID-19 Infection." , ss.49 - 51, 2021. 10.4274/tnd.2021.25675
ISNAD KIZILIRMAK, RUKİYE vd. "A Case Report of Acute Disseminated Encephalomyelitis in a Pregnant Woman After COVID-19 Infection". (2021), 49-51. https://doi.org/10.4274/tnd.2021.25675
APA KIZILIRMAK R, özalp m, Osmanağaoğlu M, Boz C (2021). A Case Report of Acute Disseminated Encephalomyelitis in a Pregnant Woman After COVID-19 Infection. Türk Nöroloji Dergisi, 27(Özel Sayı 1), 49 - 51. 10.4274/tnd.2021.25675
Chicago KIZILIRMAK RUKİYE,özalp miraç,Osmanağaoğlu Mehmet Armağan,Boz Cavit A Case Report of Acute Disseminated Encephalomyelitis in a Pregnant Woman After COVID-19 Infection. Türk Nöroloji Dergisi 27, no.Özel Sayı 1 (2021): 49 - 51. 10.4274/tnd.2021.25675
MLA KIZILIRMAK RUKİYE,özalp miraç,Osmanağaoğlu Mehmet Armağan,Boz Cavit A Case Report of Acute Disseminated Encephalomyelitis in a Pregnant Woman After COVID-19 Infection. Türk Nöroloji Dergisi, vol.27, no.Özel Sayı 1, 2021, ss.49 - 51. 10.4274/tnd.2021.25675
AMA KIZILIRMAK R,özalp m,Osmanağaoğlu M,Boz C A Case Report of Acute Disseminated Encephalomyelitis in a Pregnant Woman After COVID-19 Infection. Türk Nöroloji Dergisi. 2021; 27(Özel Sayı 1): 49 - 51. 10.4274/tnd.2021.25675
Vancouver KIZILIRMAK R,özalp m,Osmanağaoğlu M,Boz C A Case Report of Acute Disseminated Encephalomyelitis in a Pregnant Woman After COVID-19 Infection. Türk Nöroloji Dergisi. 2021; 27(Özel Sayı 1): 49 - 51. 10.4274/tnd.2021.25675
IEEE KIZILIRMAK R,özalp m,Osmanağaoğlu M,Boz C "A Case Report of Acute Disseminated Encephalomyelitis in a Pregnant Woman After COVID-19 Infection." Türk Nöroloji Dergisi, 27, ss.49 - 51, 2021. 10.4274/tnd.2021.25675
ISNAD KIZILIRMAK, RUKİYE vd. "A Case Report of Acute Disseminated Encephalomyelitis in a Pregnant Woman After COVID-19 Infection". Türk Nöroloji Dergisi 27/Özel Sayı 1 (2021), 49-51. https://doi.org/10.4274/tnd.2021.25675