Studija slučaja
https://doi.org/10.21857/mzvkptlq29
Case report of patient with SARScov- 2 infection, encephalopathy and psychiatric comorbidity
Iva Mihaljević
; Zavod za neurologiju, Klinička bolnica Dubrava, Zagreb, Hrvatska
*
Antonija Mahmutović
; Zavod za neurologiju, Landstrasse Klinika, Beč, Austrija
Stela Bukvić
; Zavod za neurologiju, Klinička bolnica Dubrava, Zagreb, Hrvatska
Marko Tomičević
; Klinika za pshijatriju, Klinička bolnica Dubrava, Zagreb, Hrvatska
Martina Blažev
; Klinika za pshijatriju, Klinička bolnica Dubrava, Zagreb, Hrvatska
Ivana Šušak Sporiš
; Zavod za neurologiju, Klinička bolnica Dubrava, Zagreb, Hrvatska
Davor Sporiš
; Zavod za neurologiju, Klinička bolnica Dubrava, Zagreb, Hrvatska
* Dopisni autor.
Sažetak
Neurological and neuropsychiatric manifestations of the coronavirus disease 2019 (COVID-19) have
been widely described, but yet the pathophysiology underlying these presentations is still unclear.
COVID-19 encephalopathy is a common neurological manifestation of SARS-CoV-2 infection and
has been associated with poorer outcomes so it is crucial to be recognized early for further decision
making regarding medical procedures and treatment. That can be challenging since the brain MRI
scan can be normal or nonspecific as well as the EEG reports and analysis of cerebrospinal fluid is unremarkable.
It is especially challenging in patients with a prior psychiatric diagnosis because symptoms
can overlap
We present the case of COVID-19 associated acute encephalopathy in patient with a history of organic
delusional disorder who presented with symptoms of delirium, minimal speech production which
progressed to mutism and stupor.
Due to the wide range and overlapping of clinical presentation, nonspecific diagnostic findings and
unclear therapeutic goal retrospectively, multidisciplinary approach is important in patients with neuropsychiatric
manifestation of SARS-CoV-2 infection.
Further investigation is paramount in order to determine the potential central nervous system effects
of infection with SARS CoV 2 and the optimal therapeutic approach.
Ključne riječi
COVID-19, SARS-CoV-2, Delirium, Encephalopathy, Mutism
Hrčak ID:
312752
URI
Datum izdavanja:
22.12.2023.
Posjeta: 612 *