A case of trigeminal neuralgia after COVID-19

Jeanie C Lucy
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Abstract

Background: The COVID-19 pandemic in the United States is a part of the worldwide pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Symptoms can vary in COVID-19 among which central nervous system (CNS) involvement can be included. As this disease is studied locally, nationally and globally, attention to neurological manifestations presentations should be documented for better understanding. Methods: A clinical case of trigeminal neuralgia will be discussed along with presentation of signs, symptoms, differential diagnosis and the potential association of it with COVID-19. Results: A 41-year-old woman presented to the clinic for a routine eye examination which was prompted by chronic facial pain on one side described as constantly dull up to excruciatingly painful when brushing her teeth. No other neurological pain was reported. The patient was diagnosed with Sar-CoV-2 and subsequently trigeminal neuralgia two weeks after testing negative COVID-19. Conclusion: Trigeminal neuralgia may be triggered after testing positive for COVID-19, yet further investigations are needed.
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新冠肺炎后三叉神经痛1例
背景:美国的COVID-19大流行是由严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)引起的全球冠状病毒病2019 (COVID-19)大流行的一部分。COVID-19的症状各不相同,其中可包括中枢神经系统(CNS)受累。由于在地方、国家和全球范围内对这种疾病进行了研究,因此应将对神经系统表现的关注记录下来,以便更好地理解。方法:对1例三叉神经痛的临床表现、症状、鉴别诊断及其与COVID-19的潜在关联进行分析。结果:一名41岁的女性因一侧面部慢性疼痛而来到诊所进行常规眼科检查,该疼痛被描述为刷牙时持续迟钝到难以忍受的疼痛。没有其他神经性疼痛的报道。患者在COVID-19检测呈阴性两周后被诊断为sars - cov -2,随后被诊断为三叉神经痛。结论:三叉神经痛可能是新冠肺炎检测阳性后引发的,但需要进一步调查。
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