Arica Polat Busra S, Isik Kubra, Mengi Tugce, Tan Ersin, Odabasi Zeki
Neurology, Gulhane Training and Research Hospital, Ankara, TUR.
Neurology, Nigde Training and Research Hospital, Nigde, TUR.
Cureus. 2022 Feb 14;14(2):e22212. doi: 10.7759/cureus.22212. eCollection 2022 Feb.
Compressive peripheral nerve injury can be observed as a long-term outcome during the treatment of severe COVID-19 pneumonia. In this case study, we report a man with bilateral wrist drop due to prolonged noninvasive blood pressure monitoring. A 52-year-old man who had undergone invasive ventilation because of severe COVID-19 pneumonia was admitted with bilateral loss of function of the wrist, digital, and thumb extensors and hypoesthesia in the dorsum of the forearm and hand. The patient had not been treated with prone positioning respiratory therapy. However, he had undergone bilateral automated sphygmomanometry that measured his blood pressure every ten minutes during his ICU stay. His electrophysiological findings were compatible with the presence of bilateral radial nerve compression at the level of the spiral groove. Awareness of potential compressive peripheral nerve injury is important for rehabilitation after the treatment of COVID-19-associated pneumonia.
在重症新型冠状病毒肺炎（COVID-19）的治疗过程中，可观察到压迫性周围神经损伤这一长期后果。在本病例研究中，我们报告了一名因长时间无创血压监测导致双侧垂腕的男性患者。一名52岁男性因重症COVID-19肺炎接受有创通气治疗，入院时双侧手腕、手指及拇指伸肌功能丧失，前臂和手部背侧感觉减退。该患者未接受俯卧位呼吸治疗。然而，他在重症监护病房（ICU）住院期间接受了双侧自动血压测量，每十分钟测量一次血压。其电生理检查结果与双侧桡神经在螺旋沟水平受压相符。认识到潜在的压迫性周围神经损伤对于COVID-19相关性肺炎治疗后的康复很重要。
