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COVID-19 合并多颅神经病 1 例

A case of COVID-19 with multiple cranial neuropathies.

机构信息

Department of Neurology, University of Texas Medical Branch, Galveston, Texas, USA.

出版信息

Int J Neurosci. 2022 Dec;132(12):1187-1189. doi: 10.1080/00207454.2020.1869001. Epub 2020 Dec 30.

Abstract

Various neurological manifestations involving the central and peripheral nervous system have been reported in association with COVID-19. Most common associations reported are encephalopathy, headache, ischemic, hemorrhagic stroke and transient ischemic attack, Miller Fisher syndrome, cranial neuropathies and Guillain-Barre syndrome. Of the cranial neuropathies, anosmia, and dysgeusia are the most common reported symptoms. This is a case of COVID-19 with ipsilateral fifth and seventh cranial nerve involvement with complete resolution of symptoms over a period of 3 weeks. The neurological symptoms started within 5 days of respiratory symptoms. We conclude that isolated cranial neuropathies can be the manifestations of SARS-CoV-2 infection.

摘要

与 COVID-19 相关的中枢和周围神经系统的各种神经表现已有报道。报告的最常见关联是脑病、头痛、缺血性、出血性中风和短暂性脑缺血发作、米勒费舍尔综合征、颅神经病变和吉兰-巴雷综合征。在颅神经病变中,嗅觉丧失和味觉障碍是最常见的报告症状。这是一例 COVID-19 患者,伴有同侧第五和第七颅神经受累,症状在 3 周内完全缓解。神经系统症状在呼吸道症状出现后 5 天内开始。我们的结论是,孤立性颅神经病变可能是 SARS-CoV-2 感染的表现。

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