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COVID-19 Worsens Chronic Lumbosacral Radicular Pain—Case Series Report

The knowledge of the COVID-19 symptomatology has increased since the beginning of the SARS-CoV-2 pandemic. The symptoms of nervous system involvement have been observed across the spectrum of COVID-19 severity. Reports describing difficulties of nerve roots are rare; the affection of brain and spina...

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Autores principales: Illéš, Róbert, Chochol, Juraj, Džubera, Andrej, Chocholová, Alica, Zemková, Erika
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9180125/
https://www.ncbi.nlm.nih.gov/pubmed/35681993
http://dx.doi.org/10.3390/ijerph19116410
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author Illéš, Róbert
Chochol, Juraj
Džubera, Andrej
Chocholová, Alica
Zemková, Erika
author_facet Illéš, Róbert
Chochol, Juraj
Džubera, Andrej
Chocholová, Alica
Zemková, Erika
author_sort Illéš, Róbert
collection PubMed
description The knowledge of the COVID-19 symptomatology has increased since the beginning of the SARS-CoV-2 pandemic. The symptoms of nervous system involvement have been observed across the spectrum of COVID-19 severity. Reports describing difficulties of nerve roots are rare; the affection of brain and spinal cord by SARS-CoV-2 is of leading interest. Our aim therefore is to describe the radicular pain deterioration in the group of nine chronic lumbosacral radicular syndrome sufferers in acute COVID-19. The intensity of radicular pain was evaluated by the Visual Analogue Scale (VAS). The VAS score in acute infection increased from 5.6 ± 1.1 to 8.0 ± 1.3 (Cohen’s d = 1.99) over the course of COVID-19, indicating dramatic aggravation of pain intensity. However, the VAS score decreased spontaneously to pre-infection levels after 4 weeks of COVID-19 recovery (5.8 ± 1.1). The acute SARS-CoV-2 infection worsened the pre-existing neural root irritation symptomatology, which may be ascribed to SARS-CoV-2 radiculitis of neural roots already compressed by the previous disc herniation. These findings based on clinical observations indicate that the neurotropism of novel coronavirus infection can play an important role in the neural root irritation symptomatology deterioration in patients with chronic pre-existing lumbosacral radicular syndrome.
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spelling pubmed-91801252022-06-10 COVID-19 Worsens Chronic Lumbosacral Radicular Pain—Case Series Report Illéš, Róbert Chochol, Juraj Džubera, Andrej Chocholová, Alica Zemková, Erika Int J Environ Res Public Health Case Report The knowledge of the COVID-19 symptomatology has increased since the beginning of the SARS-CoV-2 pandemic. The symptoms of nervous system involvement have been observed across the spectrum of COVID-19 severity. Reports describing difficulties of nerve roots are rare; the affection of brain and spinal cord by SARS-CoV-2 is of leading interest. Our aim therefore is to describe the radicular pain deterioration in the group of nine chronic lumbosacral radicular syndrome sufferers in acute COVID-19. The intensity of radicular pain was evaluated by the Visual Analogue Scale (VAS). The VAS score in acute infection increased from 5.6 ± 1.1 to 8.0 ± 1.3 (Cohen’s d = 1.99) over the course of COVID-19, indicating dramatic aggravation of pain intensity. However, the VAS score decreased spontaneously to pre-infection levels after 4 weeks of COVID-19 recovery (5.8 ± 1.1). The acute SARS-CoV-2 infection worsened the pre-existing neural root irritation symptomatology, which may be ascribed to SARS-CoV-2 radiculitis of neural roots already compressed by the previous disc herniation. These findings based on clinical observations indicate that the neurotropism of novel coronavirus infection can play an important role in the neural root irritation symptomatology deterioration in patients with chronic pre-existing lumbosacral radicular syndrome. MDPI 2022-05-25 /pmc/articles/PMC9180125/ /pubmed/35681993 http://dx.doi.org/10.3390/ijerph19116410 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Illéš, Róbert
Chochol, Juraj
Džubera, Andrej
Chocholová, Alica
Zemková, Erika
COVID-19 Worsens Chronic Lumbosacral Radicular Pain—Case Series Report
title COVID-19 Worsens Chronic Lumbosacral Radicular Pain—Case Series Report
title_full COVID-19 Worsens Chronic Lumbosacral Radicular Pain—Case Series Report
title_fullStr COVID-19 Worsens Chronic Lumbosacral Radicular Pain—Case Series Report
title_full_unstemmed COVID-19 Worsens Chronic Lumbosacral Radicular Pain—Case Series Report
title_short COVID-19 Worsens Chronic Lumbosacral Radicular Pain—Case Series Report
title_sort covid-19 worsens chronic lumbosacral radicular pain—case series report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9180125/
https://www.ncbi.nlm.nih.gov/pubmed/35681993
http://dx.doi.org/10.3390/ijerph19116410
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