TY - JOUR T1 - Catatonic syndrome as the presentation of encephalitis in association with COVID-19 JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2020-240550 VL - 14 IS - 6 SP - e240550 AU - Damaris Vazquez-Guevara AU - Sandra Badial-Ochoa AU - Karen M Caceres-Rajo AU - Ildefonso Rodriguez-Leyva Y1 - 2021/06/01 UR - http://casereports.bmj.com/content/14/6/e240550.abstract N2 - COVID-19 has shown different neurological manifestations even sometimes there are the initial or the main presentation.The following case report is about a middle-aged woman who, over 3 days, developed fever, clinical neurological alterations (stupor, muteness, fixed gaze and catatonia), cerebrospinal fluid (16 lymphocytes) and an electroencephalogram (EEG) (4–6 Hz generalised activity) with characteristics of encephalitis. A serum IgG, IgM, nasopharyngeal swab PCR for SARS-CoV-2. The patient responded positively to support measures, symptomatic and corticosteroid treatment. At discharge, the patient was independent and improved considerably.We report the presence of catatonia as a possible and atypical manifestation of encephalitis in association with COVID-19. ER -