New-Onset Seizure as the Only Presentation in a Child With COVID-19

Area of Science:

• Neurology
• Infectious Diseases
• Pediatrics

Background:

• The coronavirus disease 2019 (COVID-19) pandemic has seen a wide range of clinical presentations.
• Neurological manifestations of COVID-19 are increasingly reported, but often associated with fever or respiratory symptoms.

Observation:

• An 11-year-old male presented with a new-onset afebrile seizure during the COVID-19 crisis.
• Initial examination and standard laboratory tests were unremarkable.
• Chest X-ray and CT scan showed normal findings.

Findings:

• The patient tested positive for SARS-CoV-2 via PCR.
• The seizure was isolated, with no preceding fever or other COVID-19 symptoms.
• The patient improved with anti-seizure medication.

Implications:

• This case underscores the importance of considering COVID-19 in patients presenting with atypical neurological symptoms, even without typical signs of infection.
• Recognizing unusual presentations of COVID-19 is crucial for timely diagnosis and management, especially during widespread outbreaks.
• Pediatric neurology consultation is vital for managing such complex cases.