Conclusion
ATM has a wide range of presentations and it may lead to significant morbidity and mortality that require the clinicians to increase their index of suspicion to the diagnosis and its potentially life-threatening consequences. Immediate initiation of pulse steroids may help in ameliorating the neurologic symptoms. The absence of the SARS-CoV-2 RNA in the CSF does not exclude the diagnosis of ATM, and hence it postulates that immune-mediated post-inflammatory process took place in this context. While we learn more about the SARS-CoV-2, we must accept that there are many causes of death more than acute respiratory failure.