Pediatric Parainfectious Encephalitis Associated With COVID-19

Neurologic presentations in children with COVID-19 infection are rare. Reports of pediatric multi-inflammatory syndrome have dominated the literature, although cases of pure neurologic manifestations have been described.1–3 Akinetic mutism has previously been reported in steroid-responsive COVID-19-related encephalitis.4 We present the case of a 16-year-old girl who presented with visual hallucinations and ritualistic behaviors. She subsequently developed a severe encephalopathy with akinetic mutism in the context of COVID-19 infection.

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