From the Physical and Rehabilitation Medicine Department, Algarve Hospital Center, Faro, Portugal (DCM, SM, JR); Emergency and Intensive Care Department, Algarve Hospital Center, Faro, Portugal (SBR, IJP); Criticalmed - Center for Health Technology and Services Research (CINTESIS), University of Porto, Porto, Portugal (IJP); and Southern Physical and Rehabilitation Medicine Center, Faro, Portugal (JR).
Am J Phys Med Rehabil. 2020 Dec;99(12):1096-1098. doi: 10.1097/PHM.0000000000001607.
Coronavirus disease 2019, caused by severe acute respiratory syndrome coronavirus 2 is spreading around the world, and the outbreak continues to escalate. Recently, it has been noticed that besides the typical respiratory complications, some severely affected coronavirus disease 2019 patients also experience neurological manifestations. Here, we describe the case of a newly diagnosed unilateral hypoglossal nerve palsy in a severe coronavirus disease 2019 patient. The intubation procedure was uneventful, and magnetic resonance imaging excluded the most reported causes of isolated hypoglossal nerve injury. This case reports a rare condition. Although a reasonable doubt remains, it cannot be excluded that it may be a neurological manifestation of severe acute respiratory syndrome coronavirus 2, the authors believe it to be the cause of the palsy. The main importance of this article is to alert clinicians for neurological sequels that may require a targeted rehabilitation program.
新型冠状病毒病 2019，由严重急性呼吸综合征冠状病毒 2 引起，正在世界各地传播，疫情持续升级。最近，人们注意到，除了典型的呼吸道并发症外，一些重症新型冠状病毒病 2019 患者还出现神经系统表现。在这里，我们描述了一例新诊断的重症新型冠状病毒病 2019 患者单侧舌下神经麻痹。插管过程顺利，磁共振成像排除了最常报道的孤立性舌下神经损伤的原因。本病例报告了一种罕见情况。尽管存在合理的怀疑，但不能排除这可能是严重急性呼吸综合征冠状病毒 2 的神经系统表现，作者认为这是麻痹的原因。本文的主要重要性在于提醒临床医生注意可能需要针对性康复计划的神经后遗症。
