Daker Lamiaa I, Elshafei Reham R, Bahi Mohammad, Mohammed Asmaa, Erfan Randa, Gomaa Mohammed
Neurology Department, Faculty of Medicine, Fayoum University, Fayoum, Egypt.
Audio Vestibular Department, Faculty of Medicine, Fayoum University, Fayoum, Egypt.
Egypt J Neurol Psychiatr Neurosurg. 2023;59(1):65. doi: 10.1186/s41983-023-00659-x. Epub 2023 May 11.
It has been postulated that COVID-19 has a substantial neuro-otological impact such as vertigo or dizziness that is rarely evaluated. The purpose of this research is to study the occurrence of vertigo (whether as presenting symptom or a sequela) and its etiological characteristics in patients with covid 19 infection and close contact It is a cross-sectional study (convenient sample) conducted on patients that had a previous history of covid 19 infection and another group of contact individuals who presented with the sensation of vertigo All the included participants underwent full neurological and otological examination, nasopharyngeal swab PCR to confirm COVID-19 infection and video nystgmograghy (VNG).
it was included 44 participants, where 7 (15.9%) of the participants were post-COVID-19 patients and 37 (84.1%) were close contacts of COVID patients. It was found that 6(85.7%) of post-COVID-19 patients had vestibular neuritis (VN), and 1(14.3%) patient had Benign Paroxysmal Positional Vertigo (BPPV). 9(23%) of those in close contact had positive PCR for COVID infection, 6(66.7%) of them had VN, and the other 3 (33.3%) had BPPV.
Vertigo could be a possible complication or a presenting symptom in patients with COVID patients that is mainly attributed to peripheral vestibular dysfunction.
据推测，新冠病毒病（COVID-19）对神经耳科有重大影响，如眩晕或头晕，但很少得到评估。本研究的目的是探讨COVID-19感染患者及密切接触者中眩晕（无论是作为首发症状还是后遗症）的发生情况及其病因特征。这是一项横断面研究（便利样本），研究对象为有COVID-19感染病史的患者以及另一组有眩晕感的密切接触者。所有纳入的参与者均接受了全面的神经科和耳科检查、鼻咽拭子PCR检测以确认COVID-19感染以及视频眼震电图（VNG）检查。
共纳入44名参与者，其中7名（15.9%）为COVID-19康复患者，37名（84.1%）为COVID患者的密切接触者。发现6名（85.7%）COVID-19康复患者患有前庭神经炎（VN），1名（14.3%）患者患有良性阵发性位置性眩晕（BPPV）。9名（23%）密切接触者的COVID感染PCR检测呈阳性，其中6名（66.7%）患有VN，另外3名（33.3%）患有BPPV。
眩晕可能是COVID患者的一种可能并发症或首发症状，主要归因于外周前庭功能障碍。
