周围性面部麻痹与COVID-19病例报告

M. Militaru, Lighezan Df, Petrescu Mn, Militaru Ag
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引用次数: 1

摘要

在2019冠状病毒病(COVID-19)感染期间发生的神经系统并发症中,周围性面部轻瘫是严重急性呼吸道综合征冠状病毒2 (SARS-CoV-2)感染期间和之后都可能发生的疾病之一。我们报告了一名29岁的年轻男子的病例,他在出现症状,分离和PCR检测SARS-CoV-2感染后的第14天出现周围性面部麻痹。对患者进行临床、神经学评估,进行实验室检查、心电图、胸片、磁共振成像(MRI)/磁共振血管造影(MRA)检查,并给予皮质治疗、胃抗分泌药物、抗病毒药物、维生素B组、神经营养药物和面部体操治疗,21天后临床症状进展良好,完全缓解。尤其重要的是,在隔离期间仔细评估患者是否有COVID-19感染的症状或无症状,因为可能的并发症可能是周围性面部轻瘫,这就是为什么我们应该早期评估、发现和治疗,以减少任何持续的长期神经系统影响。未来的研究需要确定周围性面部轻瘫与SARS-CoV-2感染的相关性,并检测COVID-19感染期间或之后神经系统并发症的原因。
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Peripheral Facial Paresis and COVID-19 Case Report
Among the neurological complications that occurred during Corona Virus Disease 2019 (COVID-19) infection, peripheral facial paresis is one of the conditions that can occur both during and after the Severe Acute Respiratory Tract Syndrome Corona Virus 2 (SARS-CoV-2) infection period. We present the case of a young man, aged 29 years, who presented the appearance of a peripheral facial paresis on the 14th day after the onset of symptoms, isolation and PCR detection of SARS-CoV-2 infection. The patient was evaluated clinically, neurologically, underwent laboratory tests, EKG, chest Radiography, Magnetic Resonance Imaging (MRI)/Magnetic resonance Angiography (MRA) and received corticotherapy, gastric antisecretory medication, antiviral medication, vitamin B group, neurotrophic medication and facial gymnastics, with good evolution and complete remission of clinical symptoms after 21 days. It is particularly important to carefully evaluate patients during the isolation period, symptomatic/asymptomatic for COVID-19 infection, as a possible complication could be peripheral facial paresis, which is why, we should evaluate, detect and treat early to reduce any persistent long-term neurological effects. Future studies are needed to identify and correlate peripheral facial paresis with SARS-CoV-2 infection as well as to detect the causes of neurological complications during or after COVID-19 infection.
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