Abrupt bilateral blindness as a rare post-acute demyelinating consequence of COVID-19

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) could prompt various neurological complications. Abrupt visual disturbance was reported as a rare severe manifestation of post-coronavirus disease 2019 (COVID-19). Autoimmune conditions were assumed to have an undeniable role in creation o...

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Main Authors: Ali Motahharynia, Saba Naghavi, Vahid Shaygannejad, Iman Adibi
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:eNeurologicalSci
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S240565022200020X
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author Ali Motahharynia
Saba Naghavi
Vahid Shaygannejad
Iman Adibi
author_facet Ali Motahharynia
Saba Naghavi
Vahid Shaygannejad
Iman Adibi
author_sort Ali Motahharynia
collection DOAJ
description Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) could prompt various neurological complications. Abrupt visual disturbance was reported as a rare severe manifestation of post-coronavirus disease 2019 (COVID-19). Autoimmune conditions were assumed to have an undeniable role in creation of such circumstances. This report presents a 69-year-old woman with sudden bilateral blindness three weeks after recovering from a SARS-CoV-2 infection. Demyelination due to COVID-19-related autoimmune disorder of the central nervous system (CRAD-C) was considered to be the etiology of her bilateral blindness. Due to her progressive demyelination, immunosuppressive treatments were administered, which resulted in stabilizing post-COVID-19 demyelinating lesions. Accordingly, in the case of COVID-19-related neurological deficits, especially the acute and progressive symptoms, there should be great consideration of autoimmune response to prevent serious complications; hence early diagnosis, treatment, and long-term assessment of patients are necessitated.
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spelling doaj.art-1819a787d3524fb394a5c184491cf2fb2022-12-22T02:15:35ZengElseviereNeurologicalSci2405-65022022-09-0128100411Abrupt bilateral blindness as a rare post-acute demyelinating consequence of COVID-19Ali Motahharynia0Saba Naghavi1Vahid Shaygannejad2Iman Adibi3Center for Translational Neuroscience, Isfahan University of Medical Sciences, Isfahan 81839 83434, Iran; Isfahan Neuroscience Research Center, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan 81839 83434, IranCenter for Translational Neuroscience, Isfahan University of Medical Sciences, Isfahan 81839 83434, Iran; Isfahan Neuroscience Research Center, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan 81839 83434, Iran; Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan 81746 75731, IranCenter for Translational Neuroscience, Isfahan University of Medical Sciences, Isfahan 81839 83434, Iran; Isfahan Neuroscience Research Center, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan 81839 83434, Iran; Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan 81746 75731, IranCenter for Translational Neuroscience, Isfahan University of Medical Sciences, Isfahan 81839 83434, Iran; Isfahan Neuroscience Research Center, Kashani Hospital, Isfahan University of Medical Sciences, Isfahan 81839 83434, Iran; Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan 81746 75731, Iran; Corresponding author at: Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan 81746 75731, Iran.Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) could prompt various neurological complications. Abrupt visual disturbance was reported as a rare severe manifestation of post-coronavirus disease 2019 (COVID-19). Autoimmune conditions were assumed to have an undeniable role in creation of such circumstances. This report presents a 69-year-old woman with sudden bilateral blindness three weeks after recovering from a SARS-CoV-2 infection. Demyelination due to COVID-19-related autoimmune disorder of the central nervous system (CRAD-C) was considered to be the etiology of her bilateral blindness. Due to her progressive demyelination, immunosuppressive treatments were administered, which resulted in stabilizing post-COVID-19 demyelinating lesions. Accordingly, in the case of COVID-19-related neurological deficits, especially the acute and progressive symptoms, there should be great consideration of autoimmune response to prevent serious complications; hence early diagnosis, treatment, and long-term assessment of patients are necessitated.http://www.sciencedirect.com/science/article/pii/S240565022200020XAutoimmunityBlindnessCOVID-19DemyelinationPost-COVID-19 syndrome
spellingShingle Ali Motahharynia
Saba Naghavi
Vahid Shaygannejad
Iman Adibi
Abrupt bilateral blindness as a rare post-acute demyelinating consequence of COVID-19
eNeurologicalSci
Autoimmunity
Blindness
COVID-19
Demyelination
Post-COVID-19 syndrome
title Abrupt bilateral blindness as a rare post-acute demyelinating consequence of COVID-19
title_full Abrupt bilateral blindness as a rare post-acute demyelinating consequence of COVID-19
title_fullStr Abrupt bilateral blindness as a rare post-acute demyelinating consequence of COVID-19
title_full_unstemmed Abrupt bilateral blindness as a rare post-acute demyelinating consequence of COVID-19
title_short Abrupt bilateral blindness as a rare post-acute demyelinating consequence of COVID-19
title_sort abrupt bilateral blindness as a rare post acute demyelinating consequence of covid 19
topic Autoimmunity
Blindness
COVID-19
Demyelination
Post-COVID-19 syndrome
url http://www.sciencedirect.com/science/article/pii/S240565022200020X
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AT sabanaghavi abruptbilateralblindnessasararepostacutedemyelinatingconsequenceofcovid19
AT vahidshaygannejad abruptbilateralblindnessasararepostacutedemyelinatingconsequenceofcovid19
AT imanadibi abruptbilateralblindnessasararepostacutedemyelinatingconsequenceofcovid19