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Case Reports
. 2022 Feb:74:103274.
doi: 10.1016/j.amsu.2022.103274. Epub 2022 Jan 31.

A case of limbic encephalitis associated with severely COVID-19 infection

Amine Elmouhib  1   2 , Hicham Benramdane  3   2 , Fatima Zohra Ahsayen  3   2 , Inass Arhoun El Haddad  1   2 , Abdelilah El Ghalet  1   2 , Ilyas Laaribi  1   2 , Houssam Bkiyar  1   2   4 , Siham Nasri  3   2   4 , Imane Skiker  3   2   4 , Brahim Housni  1   2   4
Affiliations
Case Reports

A case of limbic encephalitis associated with severely COVID-19 infection

Amine Elmouhib et al. Ann Med Surg (Lond). 2022 Feb.

Abstract

Introduction: SARS Cov-2 infection is a pandemic that continues to ravage the world. The list of its complications continues to grow every day.

Case presentation: We report the case of a young patient admitted to intensive care for limbic encephalitis associated with severely COVID-19 infection.

Discussion: With the COVID-19 outbreak being a global pandemic, various neurological manifestations have been reported. On the other hand, diverse cases of limbic encephalitis related to COVID-19 have been recently described, they are related either to hyper inflammation syndrome with massive release of inflammatory cytokines or to secondary autoimmune response.

Conclusion: Seriously ill COVID-19 patients are at a higher risk of limbic encephalitis. It is therefore important to monitor Neurological Events in COVID-19 patients. This makes it possible to start the appropriate treatments quickly and avoid complications.

Keywords: Limbic encephalitis; Limbic system; Post-infectious encephalitis; Severely covid-19 infection.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Fig. 1
Fig. 1
Axial no enhanced high-resolution CT (lung window) demonstrates extensive ground-glass opacities in a peripheral and central distribution, typical appearance of COVID-19 pneumonia, with more than 75% of the lung involved.
Fig. 2
Fig. 2
Normal axial non-contrast CT of brain.
Fig. 3
Fig. 3
Axial T2-weighted FLAIR imaging demonstrate bilateral temporal hyper intensity.
Fig. 4
Fig. 4
DWI shows diffuse bilateral hippocampal diffusion hyper intensity (a), without diffusion restriction on ADC map (b).
See this image and copyright information in PMC

References

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