Severe headache as the first presentation of post-COVID-19 brain and spinal cord injury resembling neurosarcoidosis

Asieh Mehramiri; Mehrsa Heidari; Mohammad Bahadoram; Esma’il Akade

doi:10.5114/ppn.2024.144608

eISSN: 2720-5371
ISSN: 1230-2813

Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii

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abstract:

Case report

Severe headache as the first presentation of post-COVID-19 brain and spinal cord injury resembling neurosarcoidosis

Asieh Mehramiri

¹

,

Mehrsa Heidari

¹

,

Mohammad Bahadoram

¹

,

Esma’il Akade

²

Department of Neurology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Department of Medical Virology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Adv Psychiatry Neurol 2024; 33 (3): ?–?

DOI: https://doi.org/10.5114/ppn.2024.144608

Online publish date: 2024/11/05

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Purpose
Sarcoidosis, a multi-organ granulomatous disease, occasionally involves the nervous system, presenting as neurosarcoidosis. The following case demonstrates a potential association between COVID-19 and brain and spinal cord injury mimicking neurosarcoidosis.

Case description
A 51-year-old woman presented with persistent holocranial headache, nausea, vertigo, and neurological deficits one month after a COVID-19 hospitalization. Neurological examination revealed hemiparesis, dysphagia, and ataxia. Imaging showed lesions in the central nervous system. A diagnosis of neurosarcoidosis was considered, supported by clinical criteria, imaging findings, and elevated ACE levels. Steroid therapy led to symptom improvement.

Comment
This case underscores the broad range of the consequences of COVID-19 and challenges in diagnosing neurosarcoidosis, suggesting the need for further research in this area.

keywords:

Severe headache as the first presentation of post-COVID-19 brain and spinal cord injury resembling neurosarcoidosis

Asieh Mehramiri 1 , Mehrsa Heidari 1 , Mohammad Bahadoram 1 , Esma’il Akade 2

ACE-2, MRI, case report, granuloma, sarcoidosis

Asieh Mehramiri

¹

,

Mehrsa Heidari

¹

,

Mohammad Bahadoram

¹

,

Esma’il Akade

²