• Internal medicine · Aug 2023

    Case Reports

    A Case of Magnetic Resonance Imaging-negative Acute Inflammatory Myelopathy Following Severe Acute Respiratory Syndrome Coronavirus 2 Infection.

    • Kaori Nagao, Masato Kadoya, Yukie Shimizu, Nami Murahara, Hiroko Fujii, Chizuko Takechi, and Shigeaki Aono.
    • Department of Internal Medicine, Japan Self-Defense Forces Central Hospital, Japan.
    • Intern. Med. 2023 Aug 1; 62 (15): 226722722267-2272.

    AbstractA 55-year-old woman was admitted to our hospital because of gait disturbance and urinary retention that acutely emerged 1 week after severe acute respiratory syndrome coronavirus 2 infection. Acute inflammatory myelopathy was clinically suspected, based on bilateral lower-limb weakness with an extensor plantar response and an elevated immunoglobulin G level in the cerebrospinal fluid. Whole-spine magnetic resonance imaging findings were normal. The central conduction time was extended, based on somatosensory evoked potentials. Her lower-limb weakness was partially ameliorated with immunosuppressive therapy. Postinfectious myelopathy is a rare neurological complication of coronavirus disease 2019 and can develop with normal radiological findings.

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