POST COVID-19 NEUROLOGICAL SYNDROME (PCNS) IN AN 11 YEARS OLD BOY,A CASE REPORT
Journal
Ambiance in Life - International Scientific Journal in Medicine
Date Issued
2021
Author(s)
Learta Alili Ademi
Blerim Ademi
Lejla Muaremoska Kanzoska
Katerina Abrasheva
Vesna Jovicic Fidanovska
Abstract
By now more than 92.6[1] persons have been reported to be infected with COVID-19, of which
significant part are children. Although children experience milder symptoms compared with adults
at the time of the infection, cases of post-covid-19 complications have been reported (2, 3, 4, and 5).
Complications might also include the CNS, in our case with cerebellar ataxia-like and polyneuritislike
signs and symptoms.
A 13 year old boy was presented in our clinic with signs of ataxia, occasional vomiting, impaired
gait, impaired patellar reflexes on the right leg, incomplete Babinski reflex on the right leg, paresis
of the left facial nerve and mild hypertension. Based on the clinical appearance and the parameters
that showed past COVID-19 infection, a diagnosis of Post-COVID19 Cerebellar Ataxia-like and
Polyneuritis-like was made, meaning a Post Covid-19 Neurological Syndrome (PCNS). Treatment
was conducted with antibiotics and immunoglobulins resulting in significant improvement in the
following days.
There are few reported cases about neurological complications caused by COVID-19 in children
and adolescents, without any other symptoms of the virus. This is one of the first cases of Post-
COVID19 Cerebellar Ataxia and Polyneuritis in a child as a result of COVID-19 and the first case
in our country.
significant part are children. Although children experience milder symptoms compared with adults
at the time of the infection, cases of post-covid-19 complications have been reported (2, 3, 4, and 5).
Complications might also include the CNS, in our case with cerebellar ataxia-like and polyneuritislike
signs and symptoms.
A 13 year old boy was presented in our clinic with signs of ataxia, occasional vomiting, impaired
gait, impaired patellar reflexes on the right leg, incomplete Babinski reflex on the right leg, paresis
of the left facial nerve and mild hypertension. Based on the clinical appearance and the parameters
that showed past COVID-19 infection, a diagnosis of Post-COVID19 Cerebellar Ataxia-like and
Polyneuritis-like was made, meaning a Post Covid-19 Neurological Syndrome (PCNS). Treatment
was conducted with antibiotics and immunoglobulins resulting in significant improvement in the
following days.
There are few reported cases about neurological complications caused by COVID-19 in children
and adolescents, without any other symptoms of the virus. This is one of the first cases of Post-
COVID19 Cerebellar Ataxia and Polyneuritis in a child as a result of COVID-19 and the first case
in our country.
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