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Splenium of the Corpus Callosum Infarct Associated With COVID-19: Case Report.

David A Karp1, Gabriel Beaudoin1,2, Robert A Egan1,3,4

  • 1Alameda Highland Hospital, Department of Neurology, Oakland, CA.

The Neurologist
|August 31, 2022
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Summary
This summary is machine-generated.

A young woman developed a central splenium lesion during acute COVID-19 infection. This case highlights the potential neurological complications of SARS-CoV-2, specifically affecting the corpus callosum.

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Neuroimaging

Background:

  • Coronavirus disease 2019 (COVID-19) is increasingly linked to neurological complications.
  • Lesions in the central splenium of the corpus callosum have been observed in COVID-19 patients.
  • The predilection for this specific brain region in COVID-19 remains unclear.

Observation:

  • A 22-year-old female presented with altered mental status and tested positive for SARS-CoV-2.
  • Initial neurological assessment revealed somnolence and nonverbal status.
  • The patient's presentation suggested a significant neurological event potentially related to acute infection.

Findings:

  • The case presents a new instance of a central splenium lesion in a young adult with acute COVID-19.
  • This lesion is characterized as cytotoxic, with imaging typically showing minimal enhancement.
  • The findings support the association between COVID-19 and splenium lesions.

Implications:

  • This case contributes to understanding the spectrum of neurological manifestations of COVID-19.
  • Further research is needed to elucidate the mechanisms behind corpus callosum involvement in SARS-CoV-2 infection.
  • Identifying specific patterns of brain injury in COVID-19 is crucial for diagnosis and management.