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前庭神经炎作为新冠肺炎的临床表现

Vestibular Neuritis as Clinical Presentation of COVID-19.

作者信息

Mat Quentin, Noël Antoine, Loiselet Lindsay, Tainmont Sophie, Chiesa-Estomba Carlos M, Lechien Jérôme R, Duterme Jean-Pierre

机构信息

Department of Otorhinolaryngology, C.H.U. Charleroi, Charleroi, Belgium.

Faculty of Medicine and Pharmacy, University of Mons (UMons), Mons, Belgium.

出版信息

Ear Nose Throat J. 2023 Mar;102(3):NP129-NP132. doi: 10.1177/0145561321995021. Epub 2021 Feb 11.

DOI:10.1177/0145561321995021
PMID:33570425
Abstract

Coronavirus disease 2019 (COVID-19) may lead to many otolaryngological disorders such as loss of smell and taste, sudden sensorineural hearing loss (SSNHL), facial palsy, and parotitis. The involvement of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in vestibular neuritis (VN) has been reported in 2 adult patients but not really confirmed through objective testings. We present a case of a 13-year-old girl with left superior vestibular neuritis confirmed by Video Head Impulse Test during a proven COVID-19 infection. To the best of our knowledge, this is the first case associating VN and COVID-19 that was demonstrated with an objective peripheral assessment. Physicians may be aware about the occurrence of VN in patients with COVID-19, keeping in mind that this condition may develop not only in adults. Early detection of SARS-CoV-2 in this pandemic is required to prevent its spread.

摘要

2019冠状病毒病(COVID-19)可能导致许多耳鼻喉科疾病,如嗅觉和味觉丧失、突发性感音神经性听力损失(SSNHL)、面瘫和腮腺炎。有报道称,2例成年患者的严重急性呼吸综合征冠状病毒2(SARS-CoV-2)累及前庭神经炎(VN),但尚未通过客观测试得到真正证实。我们报告1例13岁女孩,在确诊为COVID-19感染期间,经视频头脉冲试验证实患有左上前庭神经炎。据我们所知,这是第一例通过客观外周评估证实VN与COVID-19相关的病例。医生可能会意识到COVID-19患者中VN的发生,要记住这种情况不仅可能发生在成年人中。在这场大流行中,需要尽早检测出SARS-CoV-2以防止其传播。

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