Afshar Zeinab Mohseni, Babazadeh Arefeh, Afsharian Mandana, Vaziri Siavash, Ebrahimpour Soheil
Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Oman Med J. 2021 Sep 30;36(5):e313. doi: 10.5001/omj.2022.30. eCollection 2021 Sep.
The COVID-19 has a wide range of symptoms. This novel infectious disease may also trigger a vast range of neurological involvements. The current report describes a case of COVID-19 complicated with Bell's palsy. A 64-year-old woman with diabetes was admitted due to abrupt left hemifacial weakness. On examination, her left hemifacial expression ability was impaired so that her face seemed asymmetrical during smiling, and numbness around the left nasolabial fold was detected. Furthermore, her ability to wink was impaired, and her eyebrow drooped. A brain computed tomography (CT) scan did not show any abnormalities. A lung CT scan was performed, which demonstrated bilateral ground-glass opacity (GGO), along with RT-PCR results indicative of COVID-19. A diagnosis of Bell's palsy in the setting of COVID-19 infection was made. She received antiviral agents and corticosteroids. At two-week follow-up, her symptoms had improved. During the COVID-19 epidemic, any newly occurred neurological involvement raises the suspicion of COVID-19 infection.
新型冠状病毒肺炎（COVID-19）有广泛的症状。这种新型传染病也可能引发广泛的神经受累。本报告描述了一例COVID-19合并贝尔麻痹的病例。一名64岁的糖尿病女性因突发左侧面部无力入院。检查发现，她左侧面部表情能力受损，微笑时面部不对称，左侧鼻唇沟周围有麻木感。此外，她的眨眼能力受损，眉毛下垂。脑部计算机断层扫描（CT）未显示任何异常。进行了肺部CT扫描，显示双侧磨玻璃影（GGO），同时逆转录聚合酶链反应（RT-PCR）结果提示COVID-19感染。诊断为COVID-19感染合并贝尔麻痹。她接受了抗病毒药物和皮质类固醇治疗。两周随访时，她的症状有所改善。在COVID-19疫情期间，任何新出现的神经受累都应怀疑COVID-19感染。
