EC Clinical and Medical Case Reports

Introduction: Covid-19 may cause serious damage to the structure and function of the nervous system due to viral infections in the Central Nervous System (CNS). Acute disseminated encephalomyelitis (ADEM) is an inflammatory demyelinating complication of COVID 19.

Case Report: 53- year-old white man was hospitalized to Spinal Cord Unit with blindness, paraparesis and ataxia. Ten days earlier he presented nasopharyngeal swab positive for SARS-CoV-2. Brain Magnetic resonance imaging (MRI) documented the presence of multiple areas of focal hyperintensity signal compatible with Acute Disseminated Encephalomyelitis (ADEM). Case report achieved the maximal motor function recovery through individual rehabilitation program however his both eyes remained blind.

Conclusion: This is a rare case, perhaps the first descibed in literature, of abrupt bilateral blindness in ADEM post COVID complication.

Keywords: COVID-19; ADEM; Blindness

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