Temple University Health System, Philadelphia, Pennsylvania, USA.
Physicians for American Healthcare Access, Philadelphia, Pennsylvania, USA.
Infez Med. 2021 Mar 1;29(1):117-122.
Respiratory symptoms are the most common presentation of an acute COVID-19 infection, but thromboembolic phenomena, encephalopathy and other neurological symptoms have been reported. With these case series, we present multiple presentations of COVID-19 induced vestibular symptoms namely dizziness, vertigo and nystagmus. The patients reported in this case series are from different parts of the world, belong to different age groups and had manifested these symptoms in different periods of the pandemic. The pathophysiology of vestibular neuritis induced by COVID-19 is similar to any other viral infection. Whether in the inpatient or outpatient settings, COVID-19 should be considered in the differential diagnosis for patients presenting with these symptoms, irrespective of the presence of respiratory symptoms or hypoxia.
呼吸道症状是急性 COVID-19 感染最常见的表现，但也有报道称存在血栓栓塞现象、脑病和其他神经系统症状。通过这些病例系列，我们展示了多种 COVID-19 引起的前庭症状，即头晕、眩晕和眼球震颤。本病例系列报告的患者来自世界各地，属于不同年龄段，并且在大流行的不同时期出现了这些症状。COVID-19 引起的前庭神经炎的病理生理学与任何其他病毒感染相似。无论在住院还是门诊环境中，对于出现这些症状的患者，即使没有呼吸道症状或缺氧，也应考虑 COVID-19 作为鉴别诊断。
