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Steroid administration for post-COVID-19 Parkinsonism: A case report
Witoon Mitarnun1, Metha Apiwattanakul2, Thanatchanan Thodthasri1
1Department of Medicine Buriram Hospital Buriram Thailand.
A man developed parkinsonism after COVID-19. Steroid treatment significantly improved his neurological symptoms, suggesting a potential link between the virus and this condition.
Area of Science:
- Neurology
- Infectious Diseases
- Immunology
Background:
- COVID-19 has been associated with various neurological complications.
- Parkinsonism is a complex neurological disorder characterized by motor symptoms.
Observation:
- A 45-year-old male presented with parkinsonism three weeks post-mild COVID-19 diagnosis.
- Initial treatment with levodopa and benserazide was ineffective.
Findings:
- The patient required ropinirole and subsequent corticosteroid therapy.
- A treatment regimen including methylprednisolone and oral prednisolone led to significant symptom improvement within one month.
Implications:
- This case suggests a potential neuroinflammatory mechanism linking COVID-19 to parkinsonism.
- Corticosteroid therapy may be a viable treatment option for post-COVID-19 parkinsonism.
- Further research is warranted to explore the pathophysiology and long-term outcomes of COVID-19-associated neurological disorders.
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