In this paper, the authors report the case of a 40-year-old man who developed acute brainstem dysfunction 3 days after hospital admission with symptoms of COVID-19 infection. Magnetic resonance imaging showed changes in keeping with inflammation of the brainstem and the upper cervical cord, leading to a diagnosis of rhombencephalitis. No other cause for the patient’s abnormal neurological findings was identified. The patient was managed conservatively with rapid spontaneous improvement in some of his neurological signs and was discharged home with continued neurology follow-up.
by Marialuisa Zedde and Francesco Cavallieri