Acute post‐infection cerebellar ataxia following SARS‐CoV‐2 infection: A case report

Abstract

After two years of spreading SARS-CoV-2, a well-known virus with respiratory symptoms, the economy, society, and public health were greatly affected. COVID-19 might be life-threatening, and it causes post-infection problems such as neurological complications, which have been reported globally.This virus appears to affect adults more than children, and even neurological complications in adults have been reported more frequently. Although the number of post-COVID neurological problems is rising due to growing cases of COVID-19, there is still a shortage of information about post-COVID-19 movement disorders in young adults and children.Studies suggested that nonspecific neurological conditions such as fatigue, headache, myalgia, and weakness are the most common problems in children affected by COVID-19, and specific neurological complications are uncommon in young adults after recovery from COVID-19. However, these children are at risk of developing seizures, meningeal signs, and encephalopathy, with variable severity. 1 There are also some reports of children with encephalitis 2,3 and acute disseminated encephalomyelitis (ADEM) 4,5 post-COVID-19 infection.Even though ataxia following SARS-CoV-2 infection is reported in adults, [6][7][8] there are just two case reports of APCA after COVID-19 before age 18. 9,10 Ataxia is usually a cerebellar disorder with an acute or chronic presentation. As we mentioned before, ACA is generally a childhood disorder and mostly presents after a recent febrile illness.Herein, we present an immunocompetent young male with acute onset of vertigo and cerebellar ataxia, following coronavirus infection.

Ataxia cerebelosa aguda y COVID-19: presentación de un caso clínico

“…También se descartó una intoxicación aguda. La mayoría de los pacientes con ataxia aguda tienen imágenes y laboratorio normales 9,10 . Sharma y cols.…”

“…Algunos casos han descrito también resolución completa de los signos y síntomas neurológicos sin necesidad de tratamiento específico 9 . Mientras que, en otros casos, fue necesaria la administración de corticoesteroides sobre todo por las manifestaciones clínicas más graves y ante la sospecha de ataxia post-infecciosa 10,11,15,16 .…”