Radiology Case Reports (Sep 2020)

Fulminant cerebral edema as a lethal manifestation of COVID-19

  • Antoon J.M. van den Enden, MD,
  • Lennart van Gils, MD, PhD,
  • Joost A.M. Labout, MD, PhD,
  • Mathieu van der Jagt, MD, PhD,
  • Walid Moudrous, MD

Journal volume & issue
Vol. 15, no. 9
pp. 1705 – 1708

Abstract

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The contribution of neurological symptomatology to morbidity and mortality after infection with Severe Acute Respiratory Syndrome-associated Coronavirus (SARS CoV II) is ill-defined. We hereby present a case of a 57-year old male patient, in excellent physical condition, who was admitted to the Intensive Care Unit (ICU), with respiratory distress duo to SARS CoV II-induced bilateral pneumonia. After 2 weeks at the ICU, with respiratory conditions improving, the patient developed lethal cerebral edema. This case advocates regular wake-up calls in Coronavirus disease 2019 patients for neurological (radiological) evaluation to provide rapid diagnosis and a therapeutic window for fulminant central nervous system complications.

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