一名感染新冠病毒后出现异常神经再生迹象的患者发生了贝尔麻痹。
Bell's palsy in a patient after contracting COVID-19 with signs of aberrant nerve regeneration.
作者信息
Alrajhi Furat, Seraj Hadeel, Taher Nada Omar, Alnabihi Ahmed Naji
机构信息
Ophthalmology Department, King Abdulaziz University Hospital, Jeddah, Saudi Arabia.
College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.
出版信息
Am J Ophthalmol Case Rep. 2022 Sep;27:101679. doi: 10.1016/j.ajoc.2022.101679. Epub 2022 Aug 6.
PURPOSE
To report a 56-year-old male in Saudi Arabia who developed signs of aberrant facial nerve regeneration after recovering from Bell's palsy associated with COVID-19 infection.
OBSERVATIONS
The patient presented, months following recovery from Bell's palsy associated with COVID-19, with symptoms of aberrant seventh nerve regeneration in the form of tearing with eating "crocodile tears" and synchronous right eyelid closure with the jaw movement.
CONCLUSIONS AND IMPORTANCE
Case reports of Bell's palsy associated with COVID-19 are emerging, but association does not mean causation. That said, we need to report these cases to draw attention to the possible neuroinvasive propensity of this virus. It is also imperative to recognize Bell's palsy as a possible symptom of COVID-19.
目的
报告一名56岁沙特男性，其在从与新冠病毒感染相关的贝尔麻痹恢复后出现了面神经异常再生的迹象。
观察结果
该患者在从与新冠病毒相关的贝尔麻痹恢复数月后，出现了第七神经异常再生的症状，表现为进食时流泪（“鳄鱼泪”）以及下颌运动时右侧眼睑同步闭合。
结论及重要性
与新冠病毒相关的贝尔麻痹病例报告不断涌现，但关联并不意味着因果关系。话虽如此，我们需要报告这些病例，以引起对该病毒可能的神经侵袭倾向的关注。认识到贝尔麻痹可能是新冠病毒感染的症状也至关重要。
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