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Острый рассеянный энцефаломиелит и миелит на фоне новой коронавирусной инфекции COVID-19 - Журнал Терапевтический архив №11 Инфекционные болезни 2021
Острый рассеянный энцефаломиелит и миелит на фоне новой коронавирусной инфекции COVID-19
Ахмеджанова Л.Т., Воскресенская О.Н., Исайкин А.И., Ермилова Е.В., Насонова Т.И., Черноусов П.А., Русин В.В. Острый рассеянный энцефаломиелит и миелит на фоне новой коронавирусной инфекции COVID-19. Клиническое наблюдение. Терапевтический архив. 2021;93(11):1375–1380. DOI: 10.26442/00403660.2021.11.201168
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Аннотация
Острый рассеянный энцефаломиелит (ОРЭМ) и острый поперечный миелит (ОПМ) – аутоиммунные демиелинизирующие заболевания центральной нервной системы. Представлены 2 клинических наблюдения ОРЭМ и ОПМ, развившихся после перенесенной острой коронавирусной инфекции (SARS-CoV-2). Дифференциальная диагностика проводилась с рассеянным склерозом, энцефалитом инфекционной природы, компрессионной миелопатией, заболеванием из спектра оптиконевромиелита. В обоих наблюдениях отмечено практически полное восстановление утраченных функций. Обсуждаются патогенетические механизмы развития ОРЭМ и ОПМ у пациентов с коронавирусной инфекцией. Возникновение дизиммунного поражения центральной нервной системы на фоне коронавирусной инфекции диктует необходимость мониторирования клинической ситуации с участием невролога для своевременной диагностики и определения терапевтической тактики, что может уменьшить степень инвалидизации пациентов.
Ключевые слова: SARS-CoV-2, COVID-19, острый рассеянный энцефаломиелит, острый поперечный миелит
Keywords: SARS-CoV-2, COVID-19, acute transverse myelitis, acute disseminated еncephalomyelitis
Ключевые слова: SARS-CoV-2, COVID-19, острый рассеянный энцефаломиелит, острый поперечный миелит
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Keywords: SARS-CoV-2, COVID-19, acute transverse myelitis, acute disseminated еncephalomyelitis
Полный текст
Список литературы
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2. Paterson RW, Brown RL, Benjamin L, et al. The emerging spectrum of COVID-19 neurology: clinical, radiological and laboratory findings. Brain. 2020;143:3104-20. DOI:10.1093/brain/awaa240
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5. Neurology (national guide). Ed. EI Gusev, AN Konovalov, VI Skvortsova. 2018. Moscow: GEOTAR-Media. Vol. 1. P. 478-83, 489-95 (in Russian).
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7. Parsons T, Banks S, Bae C, et al. COVID-19-associated acute disseminated encephalomyelitis (ADEM). J Neurol. 2020. DOI:10.1007/s00415-020-09951-9
8. Lopes CCB, Brucki SMD, Passos Neto CEB, et al. Acute Disseminated Encephalomyelitis in COVID-19: presentation of two cases and review of the literature. Arq Neuropsiquiatr. 2020;78(12):805-10. DOI:10.1590/0004-282X20200186
9. McCuddy M, Kelkar P, Zhao Y, Wicklund D. Acute Demyelinating Encephalomyelitis (ADEM) in COVID-19 Infection: A Case Series. Neurol India. 2020;68(5):1192-5.
DOI:10.4103/0028-3886.299174
10. Otluoglu GD, Yener U, Demir MK, Yilmaz B. Encephalomyelitis associated with COVID-19 infection: Case report. Br J Neurosurg. 2020;1–3. DOI:10.1080/02688697.2020.1787342
11. Novi G, Rossi T, Pedemonte E, et al. Acute disseminated encephalomyelitis after SARS-CoV-2 infection. Neurol Neuroimmunol Neuroinflamm. 2020;7(5):e797. DOI:10.1212/NXI.0000000000000797
12. Utukuri PS, Bautista A, Lignelli A, Moonis G. Possible acute disseminated encephalomyelitis related to severe acute respiratory syndrome coronavirus 2 infection. AJNR Am J Neuroradiol. 2020;41(9):E82-3. DOI:10.3174/ajnr.A6714
13. Langley L, Zeicu C, Whitton L, Pauls M. Acute disseminated encephalomyelitis (ADEM) associated with COVID-19. BMJ Case Rep. 2020;13(12):e239597. DOI:10.1136/bcr-2020-239597
14. Hussein O, Abd Elazim A, Torbey MT. COVID-19 systemic infection exacerbates pre-existing acute disseminated encephalomyelitis (ADEM). J Neuroimmunol. 2020;349:577405. DOI:10.1016/j.jneuroim.2020.577405
15. Reichard RR, Kashani KB, Boire NA, et al. Neuropathology of COVID-19: a spectrum of vascular and acute disseminated encephalomyelitis (ADEM) like pathology. Acta Neuropathologica. 2020;140:1-6. DOI:10.1007/s00401-020-02166
16. Román GS, Gracia F, Torres A, et al. Acute Transverse Myelitis (ATM): Clinical Review of 43 Patients With COVID-19-Associated ATM and 3 Post-Vaccination ATM Serious Adverse Events With the ChAdOx1 nCoV-19 Vaccine (AZD1222). Front Immunol. 2021;12:653786. DOI:10.3389/fimmu.2021.653786
17. Águila-Gordo D, Manuel Flores-Barragán J, Ferragut-Lloret F, et al. Acute myelitis and SARS-CoV-2 infection. A new etiology of myelitis? J Clin Neurosci. 2020;80:280-1. DOI:10.1016/j.jocn.2020.07.074
18. Zubair AS, McAlpine LS, Gardin T, et al. Neuropathogenesis and neurologic manifestations of the coronaviruses in the age of coronavirus disease 2019: A review. JAMA Neurol. 2020;77:1018-27. DOI:10.1001/jamaneurol.2020.2965
19. Ng Kee Kwong KC, Mehta PR, Shukla G, Mehta AR. COVID-19, SARS and MERS: A neurological perspective. J Clin Neurosci. 2020;7:13-6. DOI:10.1016/j.jocn.2020.04.124
20. Boyko AN, Sivertseva SA, Spirin NN. Nervous system damage in COVID-19 with an emphasis on the management of patients with multiple sclerosis. Neurology, Neuropsychiatry, Psychosomatics. 2020;12(Suppl. 1):44-7 (in Russian). DOI:10.14412/2074-2711-2020-1S-44-47
21. Belopasov VV, Yachou Y, Samoilova EM, Baklaushev VP. The Nervous System Damage in COVID-19. Journal of Clinical Practice. 2020;11(2):60-80 (in Russian).
DOI:10.17816/clinpract34851
22. Sarma D, Bilello LA. A case report of acute transverse myelitis following novel coronavirus infection. Clin Pract Cases Emerg Med. 2020;4:321-3. DOI:10.5811/cpcem.2020.5.47937
23. Advani S, Zali A, Ommi D, et al. Transverse myelitis in COVID-19 patients: Report of two cases. Res Square. 2020. Preprint. DOI:10.21203/rs.3.rs-107744/v1
24. Valiuddin H, Skwirsk B, Paz-Arabo P. Acute transverse myelitis associated with SARS-CoV-2: A case report. Brain Behav Immun Health. 2020;5:100091. DOI:10.1016/j.bbih.2020.100091
25. Zachariadis A, Tulbu A, Strambo D, et al. Transverse myelitis related to COVID-19 infection. J Neurol. 2020;267:3459-61. DOI:10.1007/s00415-020-09997-9
26. Garg RK, Paliwal VK, Gupta A. Spinal cord involvement in COVID-19: A review. J Spinal Cord Med. 2021:1-15. DOI:10.1080/10790268.2021.1888022
27. AlKetbi R, AlNuaimi D, AlMulla M, et al. Acute myelitis as a neurological complication of COVID-19: A case report and MRI findings. Radiol Case Rep. 2020;15:1591-5.
DOI:10.1016/j.radcr.2020.06.001
28. Chakraborty U, Chandra A, Ray AK, Biswas P. COVID-19-associated acute transverse myelitis: A rare entity. BMJ Case Rep. 2020;13:e238668. DOI:10.1136/bcr-2020-238668
29. Munz M, Wessendorf S, Koretsis G, et al. Acute transverse myelitis after COVID-19 pneumonia. J Neurol. 2020;267(8):2196-7. DOI:10.1007/s00415-020-09934-w
30. Luis MB, Liguori NF, López PA, Alonso R. SARS-CoV-2 RNA detection in cerebrospinal fluid: Presentation of two cases and review of literature. Brain Behav Immun Health. 2021;15:100282. DOI:10.1016/j.bbih.2021.100282
31. Voskresenskaya ON, Kovalenko АА, Nadbitova ЕB, et al. Central pontine myelinolysis in the presence of SARS-CoV-2 infection (clinical observations). Neurology, Neuropsychiatry, Psychosomatics. 2021;13(2):91-6 (in Russian). DOI:10.14412/2074-2711-2021-2-91-96
2. Paterson RW, Brown RL, Benjamin L, et al. The emerging spectrum of COVID-19 neurology: clinical, radiological and laboratory findings. Brain. 2020;143:3104-20. DOI:10.1093/brain/awaa240
3. Varatharaj A, Thomas N, Ellul MA, et al. Neurological and neuropsychiatric complications of COVID-19 in 153 patients: a UK-wide surveillance study. Lancet Psychiatry. 2020;7:875-82. DOI:10.1016/S2215-0366(20)30287-X
4. Maury A, Lyoubi A, Peiffer-Smadja N, et al. Neurological manifestations associated with SARS-CoV-2 and other coronaviruses: A narrative review for clinicians. Rev Neurol (Paris). 2021;177(1‑2):51‑64. DOI:10.1016/j.neurol.2020.10.001
5. Неврология (национальное руководство). Под ред. Е.И. Гусева, А.Н. Коновалова, В.И. Скворцовой. 2018. М.: ГЭОТАР-Медиа. Т. 1. С. 478-83, 489-95. [Neurology (national guide). Ed. EI Gusev, AN Konovalov, VI Skvortsova. 2018. Moscow: GEOTAR-Media. Vol. 1. P. 478-83, 489-95 (in Russian)].
6. Koelman DLH, Chahin S, Mar SS, et al. Acute disseminated encephalomyelitis in 228 patients: a retrospective, multicenter US study. Neurology. 2016;86(22):2085-93. DOI:10.1212/WNL.0000000000002723
7. Parsons T, Banks S, Bae C, et al. COVID-19-associated acute disseminated encephalomyelitis (ADEM). J Neurol. 2020. DOI:10.1007/s00415-020-09951-9
8. Lopes CCB, Brucki SMD, Passos Neto CEB, et al. Acute Disseminated Encephalomyelitis in COVID-19: presentation of two cases and review of the literature. Arq Neuropsiquiatr. 2020;78(12):805-10. DOI:10.1590/0004-282X20200186
9. McCuddy M, Kelkar P, Zhao Y, Wicklund D. Acute Demyelinating Encephalomyelitis (ADEM) in COVID-19 Infection: A Case Series. Neurol India. 2020;68(5):1192-5.
DOI:10.4103/0028-3886.299174
10. Otluoglu GD, Yener U, Demir MK, Yilmaz B. Encephalomyelitis associated with COVID-19 infection: Case report. Br J Neurosurg. 2020;1–3. DOI:10.1080/02688697.2020.1787342
11. Novi G, Rossi T, Pedemonte E, et al. Acute disseminated encephalomyelitis after SARS-CoV-2 infection. Neurol Neuroimmunol Neuroinflamm. 2020;7(5):e797. DOI:10.1212/NXI.0000000000000797
12. Utukuri PS, Bautista A, Lignelli A, Moonis G. Possible acute disseminated encephalomyelitis related to severe acute respiratory syndrome coronavirus 2 infection. AJNR Am J Neuroradiol. 2020;41(9):E82-3. DOI:10.3174/ajnr.A6714
13. Langley L, Zeicu C, Whitton L, Pauls M. Acute disseminated encephalomyelitis (ADEM) associated with COVID-19. BMJ Case Rep. 2020;13(12):e239597. DOI:10.1136/bcr-2020-239597
14. Hussein O, Abd Elazim A, Torbey MT. COVID-19 systemic infection exacerbates pre-existing acute disseminated encephalomyelitis (ADEM). J Neuroimmunol. 2020;349:577405.
DOI:10.1016/j.jneuroim.2020.577405
15. Reichard RR, Kashani KB, Boire NA, et al. Neuropathology of COVID-19: a spectrum of vascular and acute disseminated encephalomyelitis (ADEM) like pathology. Acta Neuropathologica. 2020;140:1-6. DOI:10.1007/s00401-020-02166
16. Román GS, Gracia F, Torres A, et al. Acute Transverse Myelitis (ATM): Clinical Review of 43 Patients With COVID-19-Associated ATM and 3 Post-Vaccination ATM Serious Adverse Events With the ChAdOx1 nCoV-19 Vaccine (AZD1222). Front Immunol. 2021;12:653786. DOI:10.3389/fimmu.2021.653786
17. Águila-Gordo D, Manuel Flores-Barragán J, Ferragut-Lloret F, et al. Acute myelitis and SARS-CoV-2 infection. A new etiology of myelitis? J Clin Neurosci. 2020;80:280-1. DOI:10.1016/j.jocn.2020.07.074
18. Zubair AS, McAlpine LS, Gardin T, et al. Neuropathogenesis and neurologic manifestations of the coronaviruses in the age of coronavirus disease 2019: A review. JAMA Neurol. 2020;77:1018-27.
DOI:10.1001/jamaneurol.2020.2965
19. Ng Kee Kwong KC, Mehta PR, Shukla G, Mehta AR. COVID-19, SARS and MERS: A neurological perspective. J Clin Neurosci. 2020;7:13-6. DOI:10.1016/j.jocn.2020.04.124
20. Бойко А.Н., Сиверцева С.А., Спирин Н.Н. Поражение нервной системы при инфекции COVID-19 с акцентом на ведение пациентов с рассеянным склерозом. Неврология, нейропсихиатрия, психосоматика. 2020;12 (Прил. 1):44-7 [Boyko AN, Sivertseva SA, Spirin NN. Nervous system damage in COVID-19 with an emphasis on the management of patients with multiple sclerosis. Neurology, Neuropsychiatry, Psychosomatics. 2020;12(Suppl. 1):44-7 (in Russian)]. DOI:10.14412/2074-2711-2020-1S-44-47
21. Белопасов В.В., Яшу Я., Самойлова Е.М., Баклаушев В.П. Поражение нервной системы при СOVID-19. Клиническая практика. 2020;11(2):60-80 [Belopasov VV, Yachou Y, Samoilova EM, Baklaushev VP. The Nervous System Damage in COVID-19. Journal of Clinical Practice. 2020;11(2):60-80 (in Russian)].
DOI:10.17816/clinpract34851
22. Sarma D, Bilello LA. A case report of acute transverse myelitis following novel coronavirus infection. Clin Pract Cases Emerg Med. 2020;4:321-3. DOI:10.5811/cpcem.2020.5.47937
23. Advani S, Zali A, Ommi D, et al. Transverse myelitis in COVID-19 patients: Report of two cases. Res Square. 2020. Preprint. DOI:10.21203/rs.3.rs-107744/v1
24. Valiuddin H, Skwirsk B, Paz-Arabo P. Acute transverse myelitis associated with SARS-CoV-2: A case report. Brain Behav Immun Health. 2020;5:100091. DOI:10.1016/j.bbih.2020.100091
25. Zachariadis A, Tulbu A, Strambo D, et al. Transverse myelitis related to COVID-19 infection. J Neurol. 2020;267:3459-61.
DOI:10.1007/s00415-020-09997-9
26. Garg RK, Paliwal VK, Gupta A. Spinal cord involvement in COVID-19: A review. J Spinal Cord Med. 2021:1-15.
DOI:10.1080/10790268.2021.1888022
27. AlKetbi R, AlNuaimi D, AlMulla M, et al. Acute myelitis as a neurological complication of COVID-19: A case report and MRI findings. Radiol Case Rep. 2020;15:1591-5.
DOI:10.1016/j.radcr.2020.06.001
28. Chakraborty U, Chandra A, Ray AK, Biswas P. COVID-19-associated acute transverse myelitis: A rare entity. BMJ Case Rep. 2020;13:e238668. DOI:10.1136/bcr-2020-238668
29. Munz M, Wessendorf S, Koretsis G, et al. Acute transverse myelitis after COVID-19 pneumonia. J Neurol. 2020;267(8):2196-7.
DOI:10.1007/s00415-020-09934-w
30. Luis MB, Liguori NF, López PA, Alonso R. SARS-CoV-2 RNA detection in cerebrospinal fluid: Presentation of two cases and review of literature. Brain Behav Immun Health. 2021;15:100282. DOI:10.1016/j.bbih.2021.100282
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Авторы
Л.Т. Ахмеджанова*, О.Н. Воскресенская, А.И. Исайкин, Е.В. Ермилова, Т.И. Насонова, П.А. Черноусов, В.В. Русин
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет), Москва, Россия
*luiziana78@mail.ru
Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
*luiziana78@mail.ru
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет), Москва, Россия
*luiziana78@mail.ru
________________________________________________
Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
*luiziana78@mail.ru
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