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两例新冠病毒感染后出现吞咽困难并被诊断为延髓背外侧综合征的病例。

Two Cases Diagnosed With Wallenberg Syndrome After Developing Dysphagia Following COVID-19 Infection.

作者信息

Furuya Yumi, Hirose Go, Hokari Takeo, Hirose Kenichi

机构信息

Rehabilitation Center, Hirose Hospital, Sagamihara, JPN.

Internal Medicine, Hirose Hospital, Sagamihara, JPN.

出版信息

Cureus. 2024 Jun 24;16(6):e63065. doi: 10.7759/cureus.63065. eCollection 2024 Jun.

Abstract

We experienced two consecutive cases of Wallenberg syndrome that developed after COVID-19 infection. Case 1 had symptoms such as a sore throat, but also complained of strong stress related to work and home at the same time. Therefore, it was initially thought due to a mental cause, but the psychiatrist denied depression and pointed out that it was a physical problem. After conducting neurological examinations and a videofluoroscopic (VF) swallowing examination, it was found to be dysphagia. Based on these findings, Wallenberg syndrome was diagnosed by MRI. Due to these events, it took a very long time to diagnose. Because of this experience, Case 2 was diagnosed with Wallenberg syndrome in a short time. Therefore, if symptoms like those in this case report such as feeding problems are observed after COVID-19 infection, it is considered meaningful to suspect Wallenberg syndrome from the beginning.

摘要

我们遇到了两例在感染新冠病毒后出现的连续的延髓背外侧综合征病例。病例1有喉咙痛等症状,同时还抱怨工作和家庭带来的巨大压力。因此,最初认为是精神原因所致,但精神科医生否认了抑郁症,并指出这是一个身体问题。在进行了神经学检查和视频荧光吞咽检查后,发现存在吞咽困难。基于这些发现,通过磁共振成像(MRI)诊断为延髓背外侧综合征。由于这些情况,诊断花费了很长时间。基于这次经历,病例2在短时间内就被诊断出患有延髓背外侧综合征。因此,如果在感染新冠病毒后出现了本病例报告中所述的诸如进食问题等症状,从一开始就怀疑延髓背外侧综合征被认为是有意义的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdb5/11269102/3143ffbe7b9e/cureus-0016-00000063065-i01.jpg

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