POSSIBLE ROLE OF COVID-19 IN THE RELAPSE OF KLEIN-LEVIN SYNDROME

Possible role of COVID-19 in the relapse of Klein-Levin Syndrome

Possible role of COVID-19 in the relapse of Klein-Levin Syndrome

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Klein-Levin Syndrome (KLS) is an extremely rare neurological disorder which can manifest as recurring spells of sleepiness, cognitive disturbances and behavioral changes.We present a novel case of KLS relapse in the setting of Coronavirus disease-19 (COVID-19).A 36-year-old male who had a dharwad style saree known history of KLS since adolescence was admitted with sleepiness and behavioral disturbances.Brain imaging and autoimmune encephalitis work was unremarkable.

The patient was diagnosed with a relapse of KLS secondary to COVID-19 based on symptomology and lack of any other precipitating factor.The patient required 8 days of hospitalization and was treated with benzodiazepines due to a history of robust response to lorazepam during a prior episode.The blue butterfly ornament patient progressively improved and was discharged home on lorazepam taper.We report that similar to other neurotropic viruses, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) could be the culprit in instigating KLS relapse.

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