Post-COVID-19 Quadriplegia: A Manifestation of Acute Disseminated Encephalomyelitis (ADEM)

A 34- year- old male developed acute onset quadriplegia with bladder bowel incontinence without features of encephalopathy. He had a prior history of COVID - 19 infection with respiratory failure for which he was treated in ICU and discharged after seven days with negative COVID 19 PCR. MRI of the brain and spine demonstrated acute multifocal demyelinating lesions suggestive of ADEM. The patient was treated with high - dose steroids followed by IVIG, and he recovered completely over course of several weeks. This case was a rare manifestation of ADEM. It should be kept as a differential for the Post covid neurological sequelae in adults.