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新型冠状病毒肺炎相关性周围神经病:3例报告

COVID-19 Peripheral Neuropathy: A Report of Three Cases.

作者信息

Diamond Keith B, Weisberg Miriam D, Ng Mitchell K, Erez Orry, Edelstein David

机构信息

Orthopaedic Surgery, Maimonides Medical Center, Brooklyn, USA.

出版信息

Cureus. 2021 Sep 20;13(9):e18132. doi: 10.7759/cureus.18132. eCollection 2021 Sep.

DOI:10.7759/cureus.18132
PMID:34692341
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8525663/
Abstract

This study includes three patients with various peripheral neuropathies after contracting coronavirus disease 2019 (COVID-19) infection, treated both conservatively and surgically. While cases of neurological complications have been described, neuropathy associated with COVID-19 is under-reported in orthopaedic literature. These patients presented with ulnar neuropathy, critical care polyneuropathy (CCP) with anterior interosseous nerve (AIN) neuropathy, and lateral femoral cutaneous nerve (LFCN) neuropathy. COVID-19 infection may be associated with peripheral neuropathy in addition to various neurological sequelae. Orthopaedic surgeons should screen patients for recent infections and evaluate the severity of the illness to assess for risk of neurological sequelae of COVID-19 infection.

摘要

本研究纳入了3例新型冠状病毒肺炎(COVID-19)感染后出现各种周围神经病变的患者,采用了保守治疗和手术治疗。虽然已有神经并发症病例的描述,但与COVID-19相关的神经病变在骨科文献中的报道较少。这些患者表现为尺神经病变、伴有骨间前神经(AIN)病变的危重症多神经病变(CCP)以及股外侧皮神经(LFCN)病变。除了各种神经后遗症外,COVID-19感染可能与周围神经病变有关。骨科医生应筛查患者近期的感染情况,并评估疾病的严重程度,以评估COVID-19感染导致神经后遗症的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db85/8525663/cd763030986e/cureus-0013-00000018132-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db85/8525663/ea6e52cb2b00/cureus-0013-00000018132-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db85/8525663/d60220a61254/cureus-0013-00000018132-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db85/8525663/cd763030986e/cureus-0013-00000018132-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db85/8525663/ea6e52cb2b00/cureus-0013-00000018132-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db85/8525663/d60220a61254/cureus-0013-00000018132-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db85/8525663/cd763030986e/cureus-0013-00000018132-i03.jpg

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本文引用的文献

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Ulnar Neuropathy After Intermittent Prone Positioning for COVID-19 Infection: A Preliminary Report of 3 Cases.COVID-19 感染间歇性俯卧位后发生尺神经病变:3 例初步报告。
JBJS Case Connect. 2021 Mar 19;11(1):01709767-202103000-00055. doi: e20.00729.
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Peripheral Nervous System Manifestations Associated with COVID-19.与 COVID-19 相关的周围神经系统表现。
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Brachial Plexus Neuropathies During the COVID-19 Pandemic: A Retrospective Case Series of 15 Patients in Critical Care.
在英国一家大型重症监护病房中,降低 2020 年和 2021 年新冠疫情期间的神经病变发生率:一项质量改进项目。
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Meralgia Paresthetica: Relevance, Diagnosis, and Treatment.股外侧皮神经痛:相关性、诊断与治疗
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Unraveling Muscle Impairment Associated With COVID-19 and the Role of 3D Culture in Its Investigation.揭示与新冠病毒相关的肌肉损伤以及3D培养在其研究中的作用。
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Prone positioning for ARDS patients-tips for preparation and use during the COVID-19 pandemic.COVID-19 大流行期间ARDS 患者俯卧位通气的准备和使用技巧。
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Approach to critical illness myopathy and polyneuropathy in the older SARS-CoV-2 patients.老年严重急性呼吸综合征冠状病毒 2 型患者危重病相关性肌病和多发性神经病的处理方法。
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Injury-prone: peripheral nerve injuries associated with prone positioning for COVID-19-related acute respiratory distress syndrome.易受伤:与新冠病毒相关的急性呼吸窘迫综合征俯卧位相关的周围神经损伤
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