Abstract
BackgroundDuring the recent outbreak of COVID-19, various atypical extrapulmonary manifestations are being seen, including neurological ones. Reported cases mainly include encephalopathy, myelitis, and cranial nerve involvement. This case describes uncommon neuroradiological finding in the context of COVID-19.Case presentationWe report an atypical case of COVID-19 presenting with stroke-like episode, with MRI brain showing isolated bilateral posterior internal capsule involvement. This has rarely been reported in literature.ConclusionAs the numbers of COVID-19 cases are increasing, such atypical presentations should be kept in mind.
Highlights
During the recent outbreak of COVID-19, various atypical extrapulmonary manifestations are being seen, including neurological ones
This case describes isolated bilateral symmetrical demyelinating lesions presenting with stroke-like clinical presentation in the context of COVID-19
Zoghi et al reported a case showing demyelination of bilateral posterior internal capsules extending to ventral pons and with splenial involvement along with longitudinally extensive transverse myelitis of cervical and thoracic cord [11]
Summary
COVID-19 pandemic continues to spread across the world with critical challenges for the public health and medical communities globally. There have been reports of encephalopathy, myelitis, and cranial nerve involvement in people infected by COVID-19 [2,3,4]. This case describes isolated bilateral symmetrical demyelinating lesions presenting with stroke-like clinical presentation in the context of COVID-19. Case presentation A 58-year-old male, known hypertensive and diabetic, presented with sudden onset of slurring of speech for 1 day. He had history of fever since 2 days, prior to these complaints.
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