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Spontaneous intramedullary hematoma in a patient with COVID-19 infection: A case report

Masih Sabouri1, Majid Rezvani1, Bahram Aminmansour1

  • 1Department of Neurosurgery School of Medicine Isfahan University of Medical Sciences Isfahan Iran.

Clinical Case Reports
|February 9, 2022
PubMed

Insights

Severe COVID-19 pneumonia can lead to neurological complications like inflammatory demyelinating polyneuropathy and hematomyelia. Surgical intervention for spinal hematoma improved the patient's neurological function.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Neurosurgery

Background:

  • Severe COVID-19 pneumonia is associated with various neurological complications.
  • Spinal cord involvement, including hematomyelia, is a rare but serious manifestation.
  • Peripheral neuropathy can also occur post-COVID-19.

Observation:

  • A 73-year-old male presented with progressive four-limb paresthesia and weakness after severe COVID-19 pneumonia.
  • Cervicothoracic imaging revealed spinal cord hematomyelia.

Findings:

  • Electromyography nerve conduction studies (EMG-NCS) indicated an inflammatory demyelinating polyneuropathy.
  • The patient underwent laminectomy and hematoma evacuation for the spinal cord compression.

Implications:

  • This case highlights the potential for combined central and peripheral nervous system involvement post-COVID-19.
  • Prompt diagnosis and surgical intervention can lead to significant neurological recovery.
Keywords:
COVID‐19SARS‐CoV‐2hematomyeliaintramedullary hematomaspinal cord diseasesspine surgery

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