{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T15:58:07Z","timestamp":1742399887896},"reference-count":10,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Multiple sclerosis (MS) is an autoimmune demyelinating disease of the central nervous system that may present with a wide variety of clinical presentations. However, there can be substantial overlap between symptoms from MS and those caused by lumbar spondylosis and\/or postviral plexopathies.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 33-year-old female with a history of an L5-S1 anterior lumbar interbody fusion and exposure to the SARS-CoV-2 virus developed postoperative worsening of her symptoms interpreted as \u201cradiculopathy.\u201d Despite a subsequent L5-S1 fusion, she continued to neurologically deteriorate and was ultimately diagnosed with MS.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>The initial symptoms\/signs of MS may mimic lumbar radiculopathy and or postviral plexopathy (i.e., due to recent COVID-19). This report should serve as a warning to future spinal surgeons to better differentiate between radicular and other \u201ccomplaints,\u201d sufficient to avoid unnecessary repeated spinal surgery.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_192_2022","type":"journal-article","created":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T09:31:29Z","timestamp":1648719089000},"page":"125","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Case report: Multiple sclerosis diagnosis after anterior lumbar interbody fusion and presumed COVID-19 infection"],"prefix":"10.25259","volume":"13","author":[{"given":"Todd H.","family":"Alter","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Helbig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gino","family":"Chiappetta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2022,3,31]]},"reference":[{"key":"10.25259\/SNI_192_2022\/ref-1","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1007\/BF00867354","article-title":"Viral infections trigger multiple sclerosis relapses: A pros pective seroepidemiological study","volume":"240","author":"Andersen","year":"1993","journal-title":"J Neurol"},{"key":"10.25259\/SNI_192_2022\/ref-2","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1177\/1352458510367721","article-title":"Modifiable factors influencing relapses and disability in multiple sclerosis","volume":"16","author":"D\u2019hooghe","year":"2010","journal-title":"Mult Scler"},{"key":"10.25259\/SNI_192_2022\/ref-3","doi-asserted-by":"crossref","first-page":"4067","DOI":"10.3390\/jcm9124067","article-title":"Experience in multiple sclerosis patients with COVID-19 and disease-modifying therapies: A review of 873 published cases","volume":"9","author":"M\u00f6hn","year":"2020","journal-title":"J Clin Med"},{"key":"10.25259\/SNI_192_2022\/ref-4","doi-asserted-by":"crossref","first-page":"100299","DOI":"10.1016\/j.ensci.2020.100299","article-title":"A first presentation of multiple sclerosis with concurrent COVID-19 infection","volume":"22","author":"Moore","year":"2021","journal-title":"eNeurologicalSci"},{"key":"10.25259\/SNI_192_2022\/ref-5","doi-asserted-by":"crossref","first-page":"102377","DOI":"10.1016\/j.msard.2020.102377","article-title":"Multiple sclerosis following SARS-CoV-2 infection","volume":"45","author":"Palao","year":"2020","journal-title":"Mult Scler Relat Disord"},{"key":"10.25259\/SNI_192_2022\/ref-6","doi-asserted-by":"crossref","first-page":"1802","DOI":"10.1007\/s42399-020-00504-9","article-title":"COVID-19 and multiple sclerosis: Predisposition and precautions in treatment","volume":"2","author":"Sadeghmousavi","year":"2020","journal-title":"SN Compr Clin Med"},{"key":"10.25259\/SNI_192_2022\/ref-7","doi-asserted-by":"crossref","first-page":"2091","DOI":"10.3390\/v13102091","article-title":"The potential role of COVID-19 in the pathogenesis of multiple sclerosis-a preliminary report","volume":"13","author":"Satheesh","year":"2021","journal-title":"Viruses"},{"key":"10.25259\/SNI_192_2022\/ref-8","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.jocn.2019.04.001","article-title":"Surgical management of patients with coexistent multiple sclerosis and cervical stenosis: A systematic review and meta-analysis","volume":"65","author":"Yerneni","year":"2019","journal-title":"J Clin Neurosci"},{"key":"10.25259\/SNI_192_2022\/ref-9","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1111\/j.1600-0404.1999.tb01042.x","article-title":"Surgical outcome in patients with coexisting multiple sclerosis and spondylosis","volume":"100","author":"Young","year":"1999","journal-title":"Acta Neurol Scand"},{"key":"10.25259\/SNI_192_2022\/ref-10","doi-asserted-by":"crossref","first-page":"3384","DOI":"10.1111\/ene.14690","article-title":"COVID-19 in multiple sclerosis patients: Susceptibility, severity risk factors and serological response","volume":"28","author":"Zabalza","year":"2021","journal-title":"Eur J Neurol"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/case-report-multiple-sclerosis-diagnosis-after-anterior-lumbar-interbody-fusion-and-presumed-covid-19-infection\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/case-report-multiple-sclerosis-diagnosis-after-anterior-lumbar-interbody-fusion-and-presumed-covid-19-infection\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T09:31:38Z","timestamp":1648719098000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/case-report-multiple-sclerosis-diagnosis-after-anterior-lumbar-interbody-fusion-and-presumed-covid-19-infection\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,31]]},"references-count":10,"alternative-id":["10.25259\/SNI_192_2022"],"URL":"https:\/\/doi.org\/10.25259\/sni_192_2022","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,31]]},"article-number":"125"}}