Universidade Federal de Pernambuco, Recife, Brazil.
Real Hospital Português de Beneficência de Pernambuco, Recife, Brazil.
J Neurovirol. 2021 Dec;27(6):966-967. doi: 10.1007/s13365-021-01024-5. Epub 2021 Nov 4.
The involvement of the nervous system may occur in 36.4% of patients with COVID-19. Cases have been described of cerebrovascular diseases, encephalitis, encephalopathies, and changes in smell and taste. Two months after being discharged from hospital with COVID-19, a 63-year-old male patient presented with a predominantly demyelinating multiple sensory and motor mononeuropathy. A diagnostic possibility of multiple sensory and motor demyelinating mononeuropathy (Lewis-Sumner syndrome) was made. Treatment with human immunoglobulin was initiated. COVID-19 may be associated with multiple demyelinating sensory and motor mononeuropathy.
神经系统受累可发生于 COVID-19 患者的 36.4%中。有病例描述了脑血管疾病、脑炎、脑病以及嗅觉和味觉的改变。一名 63 岁男性患者在 COVID-19 出院后 2 个月时出现了以脱髓鞘为主的多发性感觉和运动性单神经病。诊断为多发性感觉和运动性脱髓鞘单神经病(Lewis-Sumner 综合征)的可能性较大。开始使用人免疫球蛋白进行治疗。COVID-19 可能与多发性脱髓鞘感觉和运动性单神经病有关。