Rehabilitation Medicine, Buckinghamshire Healthcare NHS Trust, Aylesbury, UK
Rehabilitation Medicine, Oxford Centre for Enablement, Oxford, UK.
BMJ Case Rep. 2021 May 24;14(5):e242330. doi: 10.1136/bcr-2021-242330.
A range of neurological manifestations associated with COVID-19 have been reported in the literature, but the pathogenesis of these have yet to be fully explained. The majority of cases of peripheral nervous system disease published thus far have shown a symmetrical pattern. In contrast, we describe the case of a patient with asymmetrical predominantly upper-limb sensorimotor polyneuropathy following COVID-19 infection, likely due to a multifactorial pathological process involving critical illness neuropathy, mechanical injury and inflammatory disease. His presentation, management and recovery contribute to the understanding of this complex condition and informs rehabilitation approaches.
文献中报道了一系列与 COVID-19 相关的神经表现,但这些表现的发病机制尚未得到充分解释。迄今为止,发表的大多数周围神经系统疾病病例均表现为对称模式。相比之下,我们描述了一例 COVID-19 感染后出现不对称性、主要累及上肢感觉运动多神经病的患者,可能是由于涉及危重病性多发性神经病、机械损伤和炎症性疾病等多种病理过程所致。他的表现、治疗和康复有助于对这种复杂疾病的理解,并为康复方法提供了信息。