Opsoclonus-Myoclonus-Ataxia Syndrome (OMAS) Associated with SARS-CoV-2 Infection: Post-Infectious Neurological Complication with Benign Prognosis

Tremor Other Hyperkinet Mov (N Y). 2021 Feb 10:11:7. doi: 10.5334/tohm.580.

Abstract

The novel coronavirus SARS-CoV-2 (severe acute respiratory syndrome coronavirus-2) is the cause of the COVID-19 pandemic [5]. SARS-Cov-2 demonstrates partial resemblance to SARS-CoV and MERS-CoV in phylogenetic analysis, clinical manifestations, and pathological findings [6, 7]. Reports emerging from China have described ataxia as a neurological symptom of the SARS-CoV-2 infection [5]. Opsoclonus consists of back-to-back multidirectional conjugate saccades without an inter-saccadic interval [8]. Myoclonus is defined as a sudden, brief, "shock-like", nonepileptic involuntary movement [9], which has been described as a symptom of SARS-CoV-2 infection [10]. Opsoclonus-Myoclonus-Ataxia syndrome (OMAS) associated COVID-19 infection has been reported recently [1112].

Keywords: Movement Disorders; Opsoclonus-Myoclonus Ataxia Syndrome; Post-infection; SARS-CoV-2.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Adult
  • COVID-19 / complications
  • COVID-19 / physiopathology*
  • Clonazepam / therapeutic use
  • GABA Agents / therapeutic use
  • Humans
  • Male
  • Methylprednisolone / therapeutic use
  • Neuroprotective Agents / therapeutic use
  • Opsoclonus-Myoclonus Syndrome / drug therapy
  • Opsoclonus-Myoclonus Syndrome / etiology
  • Opsoclonus-Myoclonus Syndrome / physiopathology*
  • Prognosis
  • Recovery of Function
  • SARS-CoV-2
  • Treatment Outcome
  • Valproic Acid / therapeutic use

Substances

  • GABA Agents
  • Neuroprotective Agents
  • Clonazepam
  • Valproic Acid
  • Methylprednisolone