Diamond Keith B, Weisberg Miriam D, Ng Mitchell K, Erez Orry, Edelstein David
Orthopaedic Surgery, Maimonides Medical Center, Brooklyn, USA.
Cureus. 2021 Sep 20;13(9):e18132. doi: 10.7759/cureus.18132. eCollection 2021 Sep.
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.
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。