Abstract
Introduction
COVID19 might present as neurological symptoms including headaches, dizziness, anosmia, stroke, and loss of consciousness. Cases with severe COVID-19 are more likely to be complicated by neurological symptoms, but tonic non-colonic convulsion is still a rare presentation of COVID19 as an initial symptom.
Case presentation
A 23-years old male presented to the ambulance with a complaint of loss of consciousness for more than 1 h and tonic convulsions without clonic movements. The investigations including computed tomography for the brain and chest and lumbar puncture were within normal range and the diagnostic workup concluded that COVID-19 is the cause of the status epilepticus.
Discussion
Our case demonstrates a tonic non-clonic convulsion as a possible complication for COVID-19 infection as some respiratory viruses can cause neurological symptoms. After excluding the co-incidence of other pathological etiologies, we highly suspect that the seizures in our case are generated by COVID-19 infection.
Conclusion
This case represents a rare case in the literature review which can increase the awareness of tonic non-clonic seizures and other neurological manifestations as the presenting symptom of the COVID19.
【저자키워드】 COVID-19, coronavirus, epilepsy, Seizure, 【초록키워드】 COVID19, severe COVID-19, stroke, Symptom, Brain, Anosmia, Computed tomography, COVID-19 infection, Chest, male, Neurological symptoms, Dizziness, initial symptom, literature review, Loss of consciousness, Headaches, neurological manifestation, Neurological symptom, etiologies, diagnostic workup, respiratory virus, presenting, clonic, tonic convulsion, 【제목키워드】 presenting, Tonic,