Neurology Department, FLENI, Buenos Aires, Argentina.
Radiology Department, FLENI, Buenos Aires, Argentina.
Muscle Nerve. 2022 May;65(5):590-593. doi: 10.1002/mus.27507. Epub 2022 Feb 21.
INTRODUCTION/AIMS: Focal peripheral neuropathies are infrequently seen in pediatric patients. The COVID-19 pandemic has disrupted normal life for many people, including complete lockdowns and school closing for long periods of time in many countries, which prompted children to stay at home. Our aim is to assess whether there has been an increased incidence of focal compressive peripheral neuropathies in the pediatric population during COVID-19-associated lockdown.
Clinical, electrophysiological, and imaging characteristics were reviewed for patients referred to the electrodiagnostic (EDx) laboratory with suspicion of a focal neuropathy. The incidence of focal compressive peripheral neuropathies seen during the period of March to September 2020 was compared with the same time period in 2019.
An increased incidence of focal neuropathies was seen in 2020 (31%) compared with 2019 (6.8%). During 2020, 7 fibular (peroneal) mononeuropathies and 2 ulnar neuropathies were diagnosed. Most patients with focal neuropathies were underweight and acknowledged prolonged screen time periods. Electrophysiological findings consisted of mostly demyelinating lesions with an overall good clinical outcome.
In this study we raise awareness about a possible increased incidence of focal compressive peripheral neuropathies in children during COVID-19-associated lockdown, which may be prevented with changing positions during sedentary activities.
简介/目的：局灶性周围神经病在儿科患者中少见。COVID-19 大流行扰乱了许多人的正常生活，包括许多国家的全面封锁和长时间关闭学校，这促使儿童呆在家里。我们的目的是评估 COVID-19 相关封锁期间儿科人群中是否局灶性压迫性周围神经病的发病率增加。
对因疑似局灶性神经病而转至电诊断（EDx）实验室的患者进行临床、电生理和影像学特征回顾。比较 2020 年 3 月至 9 月期间和 2019 年同期局灶性压迫性周围神经病的发病率。
2020 年局灶性神经病的发病率（31%）高于 2019 年（6.8%）。2020 年诊断出 7 例腓总（腓骨）神经病和 2 例尺神经病。大多数局灶性神经病患者体重过轻，并承认长时间使用屏幕。电生理发现主要为脱髓鞘病变，总体临床预后良好。
在这项研究中，我们提请注意 COVID-19 相关封锁期间儿童局灶性压迫性周围神经病发病率可能增加，通过改变久坐活动时的姿势可以预防这种疾病。
