Skip to main content
. 2021 Mar 12;12:643713. doi: 10.3389/fneur.2021.643713

Table 1.

Demographic, and main clinical and laboratory/instrumental findings of the subjects enrolled in this case series.

Patient #1 #2 #3 #4 #5
Age, years 61 72 57 69 25
Sex M F M M F
Diagnosis Acute inflammatory demyelinating polyradiculoneuropathy (AIDP) Acute inflammatory demyelinating polyradiculoneuropathy (AIDP) Acute motor sensory axonal neuropathy (AMSAN) Myelitis Myelitis
Early symptoms of COVID-19 Cough, hyposmia and dysgeusia Fever (up to 39°C), cough, ageusia Fever (up to 39°C), cough and dysgeusia Fever and asthenia Fever (up to 38°C), anosmia and dysgeusia
Need for mechanical ventilation Yes No No No No
COVID-19 treatment None Antibiotics, LMWH and hydroxychloroquine None Antibiotics, lopinavir/ritonavir, LMWH and hydroxychloroquine LMWH
Latency of neurological symptoms, days 21 8 12 3 15
CSF findings Normal, SARS-CoV-2 RT-qPCR negative 1st exam: normal, SARS-CoV-2 RT-qPCR negative
2nd exam: albumin-cytological dissociation
Normal, SARS-CoV-2 RT-qPCR negative Marked pleocytosis with neutrophil prevalence, hyperproteinorrachia and oligoclonal bands, SARS-CoV-2 RT-qPCR negative Normal (polyclonal distribution of immunoglobulins), SARS-CoV-2 RT-qPCR negative
Brain MRI findings Not performed Chronic cerebrovascular disease Not performed Normal Normal
Spinal cord MRI findings No signs of myelitis nor thickening or contrast enhancement of nerve roots No signs of myelitis nor thickening or contrast enhancement of nerve roots Multiple small T2-hyperintense cervical and thoracic lesions, mostly affecting the lateral and posterior columns T2-hyperintensity at the thoracic spinal cord level mainly affecting the T3 and T8-T10 myelomeres
Neurological symptoms at baseline Impaired walking and sensory loss at the lower limbs which rapidly evolved to tetraparesis with acute respiratory failure Walking impairment and diffuse paresthesia, gradually evolving in a tetraparesis with sensory deficit in the four limbs Progressive sensory-motor deficit in the four limbs (sensory symptoms prevalent on motor impairment) Acute urinary retention, rapidly followed by complete motor and sensory impairment in the lower limbs Hyposthenia in both legs, paresthesia and numbness with upper level at the breast line and sensation of incomplete bladder emptying
Acute Treatments of the neurological syndrome IVIG, 1 cycle of 3 days (0.4 g/die) IVIG, 2 cycles of 5 days each (0.4 g/die) within the first month IVIG, 1 cycle of 5 days (0.4 g/die) IVIG, 1 cycle of 5 days (0.4 g/die) 2 cycles of IV methylprednisolone 1 g/day (each of 7 days) with a 3-month interval
Chronic treatments of the neurological syndrome None Plasma exchange cycles, 6 times over 14 days None None Low dose of oral prednisone with a tapering scheme over 2 months
Duration of rehabilitation treatment including physiotherapy and occupational therapy, days 120 179 36 128 72
Clinical outcome Autonomy recovery; persistence of mild distal weakness at lower limbs Autonomy in self transferring, ability to walk with aids and bilateral support Autonomy recovery; walking with right ankle-foot orthosis Autonomy recovery; normal walking but with early fatigue Autonomy recovery; persistence of distal weakness at lower limbs and gait ataxia

IVIG, intravenous immunoglobulin; LMWH, low molecular weight heparin.