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Axonal polineuropathy associated with Sars-CoV 2 infection: a case report

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 U...

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Detalles Bibliográficos
Autores principales: Tramonti, Caterina, Vatteroni, Elena, Iacopini, Francesco, Carli, Valentina, Iardella, Martina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications, Pavia, Italy 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8495368/
https://www.ncbi.nlm.nih.gov/pubmed/34530589
http://dx.doi.org/10.4081/ejtm.2021.9900
Descripción
Sumario: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.