COVID 19 with neurological symptoms, rhabdomyolysis and brain death: a case report.

Aria, Amir; Forouharnejad, Khatereh; Mortazavi, Mozhgan; Omidi, Ashkan; Askari, Mozhde; Ghadimi, Keyvan; Mashinchi-Asl, Nazlisadat

BACKGROUND In the worldwide, there are the pandemic of the virus coronavirus disease 2019 (COVID-19) and there is no approved treatment for this disease. CASE PRESENTATION This study reported a new case with COVID 19 with neurological symptoms such as headache and loss of consciousness without any symptoms and imaging of COVID 19 in admission but RT-PCR COVID 19 of patient was positive and during hospitalization patient had increasing cerebrospinal fluid (CSF) volume in sub-arachnoid space, micro-hemorrhaging in basal ganglia and down ward cerebellar tonsile herniation in the brain imaging, also there were rhabdomyolysis and thrombotic thrombocytopenic purpura in the lab data. Finally, based on abnormal electroencephalogram (EEG), brain death was diagnosed for patient in end of hospitalization. In the 8th of admission day, the patients died after cardiovascular arrest. CONCLUSION The COVID 19 can be associated with different symptoms such as neurological complication and brain death was unusual complication in COVID19.