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Kidney Disease and Epilepsy
The family of a 47-year-old man with end stage renal failure on hemodialysis brought him to the emergency room. He had missed 3 sessions of dialysis due to concerns for COVID-19 precautions. He had developed increasing confusion and generalized weakness. Examination showed altered mental status and disorientation to date and place. He had bilateral gaze evoked nystagmus and asterixis in his upper extremities. His lab work showed Blood Urea Nitrogen (BUN) of 75  mg/dL and Creatinine of 6.2 mg/dL. His EEG showed generalized triphasic waves (Fig. 1).
Source: Journal of Stroke and Cerebrovascular Diseases - February 10, 2021 Category: Neurology Authors: Mona Sazgar Source Type: research

Clinical, cerebrospinal fluid, and neuroimaging findings in COVID-19 encephalopathy: a case series
ConclusionIn our consecutive series with 43 encephalopathy cases, neuroimaging and CSF analysis did not support the role of direct viral CNS invasion or CNS inflammation as the cause of encephalopathy.
Source: Neurological Sciences - January 7, 2021 Category: Neurology Source Type: research