https://doi.org/10.4081/ejtm.2021.9900
Axonal polineuropathy associated with Sars-CoV 2 infection: a case report
Submitted: 9 June 2021
Accepted: 11 August 2021
Published: 15 September 2021
Accepted: 11 August 2021
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
World healthcare systems are dealing with the pandemic of the severe Coronavirus disease 19 (Covid-19). Covid-19 neurological manifestations affecting both central and peripheral nervous systems have been reported. We describe the case of 44-year-old patient, who was admitted to our Rehabilitation Unit after discharge from intensive care unit for severe Covid-19 related respiratory failure. Neurophysiological investigation revealed an axonal polineuropathy with impairment both of sensory and motor component. He underwent a comprehensive rehabilitation treatment, including breathing exercises and motor rehabilitation. Despite rapid and effective diagnosis and customized progressive rehabilitation treatment, significant improvement in sensory-motor abnormalities has begun but distal complete recovery was not achieved. Indeed, complete indipendence during walking has been partially reached: patient constantly needs two sticks and wears two ankle-foot orthosis during ambulatory function. Nowadays, exploring the neurologic manifestations of Covid-19 may represent a step towards better understanding the virus, preventing longterm sequela and rehabilitation concerns.
Casadevall A, Pirofski LA. The convalescent sera option for containing COVID-19. J Clin Invest. 2020 Apr 1;130(4):1545-1548.
DOI: https://doi.org/10.1172/JCI138003
Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, Wang B, Xiang H, Cheng Z, Xiong Y, Zhao Y, Li Y, Wang X, Peng Z. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020 Mar 17;323(11):1061-1069. Erratum in: JAMA. 2021 Mar 16;325(11):1113.
DOI: https://doi.org/10.1001/jama.2020.1585
Tsivgoulis G, Palaiodimou L, Katsanos AH, Caso V, Köhrmann M, Molina C, Cordonnier C, Fischer U, Kelly P, Sharma VK, Chan AC, Zand R, Sarraj A, Schellinger PD, Voumvourakis KI, Grigoriadis N, Alexandrov AV, Tsiodras S. Neurological manifestations and implications of COVID-19 pandemic. Ther Adv Neurol Disord. 2020 Jun 9;13:1756286420932036.
DOI: https://doi.org/10.1177/1756286420932036
Fernandez CE, Franz CK, Ko JH, Walter JM, Koralnik IJ, Ahlawat S, Deshmukh S. Imaging Review of Peripheral Nerve Injuries in Patients with COVID-19. Radiology. 2021 Mar;298(3):E117-E130. Epub 2020 Dec 1.
DOI: https://doi.org/10.1148/radiol.2020203116
Montalvan V, Lee J, Bueso T, De Toledo J, Rivas K. Neurological manifestations of COVID-19 and other coronavirus infections: A systematic review. Clin Neurol Neurosurg. 2020 Jul;194:105921. Epub 2020 May 15.
DOI: https://doi.org/10.1016/j.clineuro.2020.105921
Medical Research Council of the United Kingdom. Aiak to Examination of the Peripheral Nervous System: Memorandum No 45. Palo Alto, Calif: Pedragon House; 1978.
Fayazi M, Dehkordi SN, Dadgoo M, Salehi M. Test-retest reliability of Motricity Index strength assessments for lower extremity in post stroke hemiparesis. Med J Islam Repub Iran. 2012 Feb;26(1):27-30.
Schoene D, Wu SM, Mikolaizak AS, Menant JC, Smith ST, Delbaere K, Lord SR. Discriminative ability and predictive validity of the timed up and go test in identifying older people who fall: systematic review and meta-analysis. J Am Geriatr Soc. 2013 Feb;61(2):202-8. Epub 2013 Jan 25.
DOI: https://doi.org/10.1111/jgs.12106
Collin C, Wade DT, Davies S, Horne V. The Barthel ADL Index: a reliability study. Int Disabil Stud. 1988;10(2):61-3.
DOI: https://doi.org/10.3109/09638288809164103
Algahtani H, Subahi A, Shirah B. Neurological Complications of Middle East Respiratory Syndrome Coronavirus: A Report of Two Cases and Review of the Literature. Case Rep Neurol Med. 2016;2016:3502683. Epub 2016 Apr 28.
DOI: https://doi.org/10.1155/2016/3502683
Tsai LK, Hsieh ST, Chao CC, Chen YC, Lin YH, Chang SC, Chang YC. Neuromuscular disorders in severe acute respiratory syndrome. Arch Neurol. 2004 Nov;61(11):1669-73. doi: 10.1001/archneur. 61.11.1669.
DOI: https://doi.org/10.1001/archneur.61.11.1669
Tsai LK, Hsieh ST, Chang YC. Neurological manifestations in severe acute respiratory syndrome. Acta Neurol Taiwan. 2005 Sep;14(3):113-9.
Kim JE, Heo JH, Kim HO, Song SH, Park SS, Park TH, Ahn JY, Kim MK, Choi JP. Neurological Complications during Treatment of Middle East Respiratory Syndrome. J Clin Neurol. 2017 Jul;13(3):227-233.
DOI: https://doi.org/10.3988/jcn.2017.13.3.227
How to Cite
Tramonti, C., Vatteroni, E., Iacopini, F., Carli, V., & Iardella, M. (2021). Axonal polineuropathy associated with Sars-CoV 2 infection: a case report. European Journal of Translational Myology, 31(3). https://doi.org/10.4081/ejtm.2021.9900
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