Post-COVID-19 condition may present with persistent subjective cognitive and vestibular symptoms despite unrevealing conventional diagnostic evaluation. We report the case of a 67-year-old woman who developed persistent subjective cognitive symptoms ("brain fog"), dizziness, vertigo, and imbalance following severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection....
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change — a single-patient case report cannot support clinical decision-making; it illustrates that post-COVID vestibular symptoms may correlate with detectable brain perfusion changes but provides no guidance for audiological management.
This case highlights that post-COVID-19 vestibular and cognitive symptoms may have an identifiable neurological basis (altered brain blood flow), which is relevant for audiologists and vestibular specialists managing long-COVID patients.
- 01Single case report of a 67-year-old with persistent cognitive and vestibular symptoms following COVID-19 infection.
- 02Brain perfusion imaging revealed regional blood-flow differences potentially linked to the patient's symptoms.
- 03Published in Cureus, an open-access journal; evidence level is very low (case report).
- 04Vestibular symptoms are a recognised but poorly understood feature of long-COVID.
- 05Findings are hypothesis-generating only and cannot be generalised.
Persistent neurocognitive and vestibular symptoms in a post-COVID-19 patient are associated with relative brain perfusion differences on imaging.
studyunclear- PMID
- 42729430
- DOI
- 10.7759/cureus.114380.
- Journal
- Cureus
- Publication type
- case_report
- Evidence level
- 4
- Sample size
- 1
- Population
- Single 67-year-old patient with persistent neurocognitive and vestibular symptoms following Post-COVID-19 condition
- Intervention
- Brain perfusion imaging in post-COVID-19 patient
Primary outcomes
Regional brain perfusion differences on imaging; Association with neurocognitive and vestibular symptom burden