Grade IV Glioma Potentially Disguised As COVID-19 Encephalitis
Coronavirus disease 2019 (COVID-19) is caused by the severe acute respiratory distress syndrome coronavirus 2 (SARS-CoV-2), which became a pandemic in March 2020. Since that time, research has shed light on this disease's pulmonary, cardiac, and hematologic complications. However, we are still...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2024-01, Vol.16 (1), p.e52075 |
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| creator | Patrick Eisenberg, Austin Scibelli, Nicolina Fischer, Hannah Collier, Victor |
| description | Coronavirus disease 2019 (COVID-19) is caused by the severe acute respiratory distress syndrome coronavirus 2 (SARS-CoV-2), which became a pandemic in March 2020. Since that time, research has shed light on this disease's pulmonary, cardiac, and hematologic complications. However, we are still unraveling the complex neurologic sequelae of COVID-19. Here we present the case of a 58-year-old female who presented with weakness, gaze preference, and aphasia. She was diagnosed with a stroke which was managed medically. The patient returned two weeks later with memory loss and aphasia. An MRI was consistent with temporal lobe encephalitis, although a lumbar puncture was unremarkable. A polymerase chain reaction (PCR) test for COVID-19 was positive. Treatment was initiated for viral encephalitis with patient improvement. She was discharged a second time, and approximately three months later, she presented again with unrelenting headaches. Further imaging revealed a mass that was determined to be a grade IV glioma. Cases of glioma after viral encephalitis have been studied, but a clear link with COVID-19 has not been established. |
| doi_str_mv | 10.7759/cureus.52075 |
| format | Article |
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Since that time, research has shed light on this disease's pulmonary, cardiac, and hematologic complications. However, we are still unraveling the complex neurologic sequelae of COVID-19. Here we present the case of a 58-year-old female who presented with weakness, gaze preference, and aphasia. She was diagnosed with a stroke which was managed medically. The patient returned two weeks later with memory loss and aphasia. An MRI was consistent with temporal lobe encephalitis, although a lumbar puncture was unremarkable. A polymerase chain reaction (PCR) test for COVID-19 was positive. Treatment was initiated for viral encephalitis with patient improvement. She was discharged a second time, and approximately three months later, she presented again with unrelenting headaches. Further imaging revealed a mass that was determined to be a grade IV glioma. Cases of glioma after viral encephalitis have been studied, but a clear link with COVID-19 has not been established.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.52075</identifier><identifier>PMID: 38344517</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Aphasia ; Biopsy ; COVID-19 ; Disease ; Edema ; Electroencephalography ; Emergency medical care ; Encephalitis ; Glioma ; Headaches ; Herpes viruses ; Infections ; Neurosurgery ; Pathology ; Patients ; Respiratory distress syndrome ; Severe acute respiratory syndrome coronavirus 2 ; Stroke ; Vascular endothelial growth factor</subject><ispartof>Curēus (Palo Alto, CA), 2024-01, Vol.16 (1), p.e52075</ispartof><rights>Copyright © 2024, Patrick Eisenberg et al.</rights><rights>Copyright © 2024, Patrick Eisenberg et al. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). 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Cases of glioma after viral encephalitis have been studied, but a clear link with COVID-19 has not been established.</description><subject>Aphasia</subject><subject>Biopsy</subject><subject>COVID-19</subject><subject>Disease</subject><subject>Edema</subject><subject>Electroencephalography</subject><subject>Emergency medical care</subject><subject>Encephalitis</subject><subject>Glioma</subject><subject>Headaches</subject><subject>Herpes viruses</subject><subject>Infections</subject><subject>Neurosurgery</subject><subject>Pathology</subject><subject>Patients</subject><subject>Respiratory distress syndrome</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Stroke</subject><subject>Vascular endothelial growth factor</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpNkEtPAjEUhRujEYPsXJsmbh3s-7ExIYBIQoILZdt02qIlA4PtzIJ_7yhozF2cu_hyTvIBcIPRUEquH1ybQpuHnCDJz8AVwUIVCit2_u_vgUHOG4QQRrLj0CXoUUUZ41hegcdZsj7A-QrOqlhvLXypm7Broq2qA5zE_N7GHDwcZTheruaTAms43bmw_7BVbGK-BhdrW-UwOGUfvD1NX8fPxWI5m49Hi8IRjJvCIYulVVJQGohVQmLuy6A0J0JZy0vsHSsx0S6w0ikk10wLhQjzmngknKB9cHfs3af6sw25MZu6Tbtu0hBNKSOqu466P1Iu1TmnsDb7FLc2HQxG5tuXOfoyP746_PZU2pbb4P_gXzv0C2n8Y_4</recordid><startdate>20240111</startdate><enddate>20240111</enddate><creator>Patrick Eisenberg, Austin</creator><creator>Scibelli, Nicolina</creator><creator>Fischer, Hannah</creator><creator>Collier, Victor</creator><general>Cureus Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20240111</creationdate><title>Grade IV Glioma Potentially Disguised As COVID-19 Encephalitis</title><author>Patrick Eisenberg, Austin ; 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Since that time, research has shed light on this disease's pulmonary, cardiac, and hematologic complications. However, we are still unraveling the complex neurologic sequelae of COVID-19. Here we present the case of a 58-year-old female who presented with weakness, gaze preference, and aphasia. She was diagnosed with a stroke which was managed medically. The patient returned two weeks later with memory loss and aphasia. An MRI was consistent with temporal lobe encephalitis, although a lumbar puncture was unremarkable. A polymerase chain reaction (PCR) test for COVID-19 was positive. Treatment was initiated for viral encephalitis with patient improvement. She was discharged a second time, and approximately three months later, she presented again with unrelenting headaches. Further imaging revealed a mass that was determined to be a grade IV glioma. 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| fulltext | fulltext |
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| ispartof | Curēus (Palo Alto, CA), 2024-01, Vol.16 (1), p.e52075 |
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| source | PubMed Central; PubMed Central Open Access |
| subjects | Aphasia Biopsy COVID-19 Disease Edema Electroencephalography Emergency medical care Encephalitis Glioma Headaches Herpes viruses Infections Neurosurgery Pathology Patients Respiratory distress syndrome Severe acute respiratory syndrome coronavirus 2 Stroke Vascular endothelial growth factor |
| title | Grade IV Glioma Potentially Disguised As COVID-19 Encephalitis |
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