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新型冠状病毒肺炎感染后新发眩晕。病例报告。

New Onset Vertigo After COVID-19 Infection. A Case Report.

作者信息

Motawea Karam R, Monib Fatma A

机构信息

Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Faculty of Medicine, Assiut University, Assiut, Egypt.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Oct;74(Suppl 2):3009-3011. doi: 10.1007/s12070-021-02715-5. Epub 2021 Jul 4.

Abstract

In addition to the known pathophysiological sequelae of the SARS-COV-2 virus and its related respiratory symptoms, several studies have recently reported cardiovascular, gastrointestinal, and neurological symptoms of new-onset after a history of infection. Vertigo is a symptom indicating dysfunction of the vestibular system and this report of a 60-year-old female patient points out the possible association between new-onset vertigo and SARS-COV-2 infection. A 60-year-old diabetic and hypertensive female patient with a 9-days history of COVID-19 symptoms presented to the emergency department with acute vertigo attack without nausea or vomiting. A full physical examination showed no other auditory or neurological symptoms and she never experienced vertigo before. Laboratory findings confirmed a current COVID-19 infection. The patient was managed with antihypertensive, anti-vertigo medications, and COVID-19 protocol for mild cases. After discharge, the patient was advised to continue the anti-vertigo drugs and COVID-19 medications. SARS-COV-2 may lead to vestibular neuritis causing vertigo and other related symptoms, but more well-designed observational studies with a large sample size are needed to establish a definite association between COVID-19 and vertigo.

摘要

除了已知的严重急性呼吸综合征冠状病毒2(SARS-CoV-2)病毒的病理生理后遗症及其相关的呼吸道症状外,最近有几项研究报告了感染史后新出现的心血管、胃肠道和神经系统症状。眩晕是一种表明前庭系统功能障碍的症状,这份关于一名60岁女性患者的报告指出了新发眩晕与SARS-CoV-2感染之间可能存在的关联。一名患有糖尿病和高血压的60岁女性患者,有9天的新冠病毒病(COVID-19)症状病史,因急性眩晕发作前往急诊科就诊,无恶心或呕吐。全面体格检查未发现其他听觉或神经系统症状,且她以前从未经历过眩晕。实验室检查结果证实目前感染了COVID-19。该患者接受了抗高血压、抗眩晕药物治疗以及针对轻症病例的COVID-19治疗方案。出院后,建议患者继续服用抗眩晕药物和COVID-19药物。SARS-CoV-2可能导致前庭神经炎,引起眩晕和其他相关症状,但需要更多设计良好、样本量大的观察性研究来确定COVID-19与眩晕之间的明确关联。

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