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September 2020; 7 (5) Clinical/Scientific NotesOpen Access

Acute disseminated encephalomyelitis after SARS-CoV-2 infection

View ORCID ProfileGiovanni Novi, Tommaso Rossi, Enrico Pedemonte, Laura Saitta, Claudia Rolla, Luca Roccatagliata, Matilde Inglese, Daniele Farinini
First published June 1, 2020, DOI: https://doi.org/10.1212/NXI.0000000000000797
Giovanni Novi
From the Department of Neuroscience (G.N., E.P., D.F.), Ospedale Policlinico San Martino, IRCCS; Ospedale Policlinico San Martino (T.R., L.R., M.I.), IRCCS; Department of Neuroradiology (L.S., C.R.), Ospedale Policlinico San Martino, IRCCS, Genova, Italy; Department of Health Sciences (DISSAL) (L.R.), University of Genova; and Department of Neuroscience (M.I.), Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI) and Center of Excellence for Biomedical Research (CEBR), University of Genova, Italy.
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  • ORCID record for Giovanni Novi
Tommaso Rossi
From the Department of Neuroscience (G.N., E.P., D.F.), Ospedale Policlinico San Martino, IRCCS; Ospedale Policlinico San Martino (T.R., L.R., M.I.), IRCCS; Department of Neuroradiology (L.S., C.R.), Ospedale Policlinico San Martino, IRCCS, Genova, Italy; Department of Health Sciences (DISSAL) (L.R.), University of Genova; and Department of Neuroscience (M.I.), Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI) and Center of Excellence for Biomedical Research (CEBR), University of Genova, Italy.
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Enrico Pedemonte
From the Department of Neuroscience (G.N., E.P., D.F.), Ospedale Policlinico San Martino, IRCCS; Ospedale Policlinico San Martino (T.R., L.R., M.I.), IRCCS; Department of Neuroradiology (L.S., C.R.), Ospedale Policlinico San Martino, IRCCS, Genova, Italy; Department of Health Sciences (DISSAL) (L.R.), University of Genova; and Department of Neuroscience (M.I.), Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI) and Center of Excellence for Biomedical Research (CEBR), University of Genova, Italy.
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Laura Saitta
From the Department of Neuroscience (G.N., E.P., D.F.), Ospedale Policlinico San Martino, IRCCS; Ospedale Policlinico San Martino (T.R., L.R., M.I.), IRCCS; Department of Neuroradiology (L.S., C.R.), Ospedale Policlinico San Martino, IRCCS, Genova, Italy; Department of Health Sciences (DISSAL) (L.R.), University of Genova; and Department of Neuroscience (M.I.), Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI) and Center of Excellence for Biomedical Research (CEBR), University of Genova, Italy.
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Claudia Rolla
From the Department of Neuroscience (G.N., E.P., D.F.), Ospedale Policlinico San Martino, IRCCS; Ospedale Policlinico San Martino (T.R., L.R., M.I.), IRCCS; Department of Neuroradiology (L.S., C.R.), Ospedale Policlinico San Martino, IRCCS, Genova, Italy; Department of Health Sciences (DISSAL) (L.R.), University of Genova; and Department of Neuroscience (M.I.), Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI) and Center of Excellence for Biomedical Research (CEBR), University of Genova, Italy.
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Luca Roccatagliata
From the Department of Neuroscience (G.N., E.P., D.F.), Ospedale Policlinico San Martino, IRCCS; Ospedale Policlinico San Martino (T.R., L.R., M.I.), IRCCS; Department of Neuroradiology (L.S., C.R.), Ospedale Policlinico San Martino, IRCCS, Genova, Italy; Department of Health Sciences (DISSAL) (L.R.), University of Genova; and Department of Neuroscience (M.I.), Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI) and Center of Excellence for Biomedical Research (CEBR), University of Genova, Italy.
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Matilde Inglese
From the Department of Neuroscience (G.N., E.P., D.F.), Ospedale Policlinico San Martino, IRCCS; Ospedale Policlinico San Martino (T.R., L.R., M.I.), IRCCS; Department of Neuroradiology (L.S., C.R.), Ospedale Policlinico San Martino, IRCCS, Genova, Italy; Department of Health Sciences (DISSAL) (L.R.), University of Genova; and Department of Neuroscience (M.I.), Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI) and Center of Excellence for Biomedical Research (CEBR), University of Genova, Italy.
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Daniele Farinini
From the Department of Neuroscience (G.N., E.P., D.F.), Ospedale Policlinico San Martino, IRCCS; Ospedale Policlinico San Martino (T.R., L.R., M.I.), IRCCS; Department of Neuroradiology (L.S., C.R.), Ospedale Policlinico San Martino, IRCCS, Genova, Italy; Department of Health Sciences (DISSAL) (L.R.), University of Genova; and Department of Neuroscience (M.I.), Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI) and Center of Excellence for Biomedical Research (CEBR), University of Genova, Italy.
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Citation
Acute disseminated encephalomyelitis after SARS-CoV-2 infection
Giovanni Novi, Tommaso Rossi, Enrico Pedemonte, Laura Saitta, Claudia Rolla, Luca Roccatagliata, Matilde Inglese, Daniele Farinini
Neurol Neuroimmunol Neuroinflamm Sep 2020, 7 (5) e797; DOI: 10.1212/NXI.0000000000000797

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This article has a correction. Please see:

  • Errata - January 01, 2021
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    Figure Brain and spine MRI

    (A–C) Postgadolinium (Gd) T1-weighted (T1w) sequence of the brain in the axial plane showing 6 enhancing lesions (green arrows), most of which with ring enhancement and some of which with nodular enhancement. Incomplete ring enhancement is shown about the right temporal lesion (dashed green arrow). (D–F) T2-weighted (T2w) fat saturated sequence in the coronal plane with evidence of (D) hyperintense signal of the optic nerves bilaterally (white arrows), which is best seen when compared with the normal signal within (E) the optic chiasm and (F) the optic tracts (dashed white arrows). (G) T2w sequence of the thoracic spine in the sagittal plane showing a hyperintense spindle-like T8 lesion, involving less than 2 metameric levels (dashed yellow arrow). (H) Post-Gd T1w sequence of the spine in the axial plane at the level of T8 showing eccentric areas of enhancement respectively located posteriorly to the right and anteriorly to the left (dashed yellow arrow).

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Letters: Rapid online correspondence

  • Author response: Acute disseminated encephalomyelitis after SARS-CoV-2 infection
    • Giovanni Novi, Physician, Ospedale Policlinico San Martino
    Submitted June 26, 2020
  • Reader response: Acute disseminated encephalomyelitis after SARS-CoV-2 infection
    • Miguel Trelles de Belaunde, Radiologist, Clinica Delgado
    Submitted June 22, 2020
  • Reader response: Acute disseminated encephalomyelitis after SARS-CoV-2 infection
    • Islam Gad Elrap Ahmed Ibrahim Elmalky, Lecturer of Neurology, South valley University, Faculty of Medicine, Neurology Department
    Submitted June 17, 2020
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