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A unique association of bifacial weakness, paresthesia and vestibulocochlear neuritis as post-COVID-19 manifestation in pregnant women: a case report.
Aasfara, Jehanne; Hajjij, Amal; Bensouda, Hatim; Ouhabi, Hamid; Benariba, Fouad.
  • Aasfara J; Department of Neurology, Cheikh Khalifa International University Hospital, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.
  • Hajjij A; Department of Otolaryngology, Head and Neck Surgery, Cheikh Khalifa International University Hospital, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.
  • Bensouda H; Department of Otolaryngology, Head and Neck Surgery, Cheikh Khalifa International University Hospital, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.
  • Ouhabi H; Department of Neurology, Cheikh Khalifa International University Hospital, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.
  • Benariba F; Department of Otolaryngology, Head and Neck Surgery, Cheikh Khalifa International University Hospital, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.
Pan Afr Med J ; 38: 30, 2021.
Article in English | MEDLINE | ID: covidwho-1110741
Semantic information from SemMedBD (by NLM)
1. Neuritis PROCESS_OF Pregnant Women
Subject
Neuritis
Predicate
PROCESS_OF
Object
Pregnant Women
2. Paresthesia PROCESS_OF Pregnant Women
Subject
Paresthesia
Predicate
PROCESS_OF
Object
Pregnant Women
3. Weakness PROCESS_OF Pregnant Women
Subject
Weakness
Predicate
PROCESS_OF
Object
Pregnant Women
4. Coronavirus Infections PROCESS_OF Family
Subject
Coronavirus Infections
Predicate
PROCESS_OF
Object
Family
5. Auricular LOCATION_OF Pain
Subject
Auricular
Predicate
LOCATION_OF
Object
Pain
6. immunoglobulin TREATS C0030705
Subject
immunoglobulin
Predicate
TREATS
Object
C0030705
7. Lower Extremity LOCATION_OF Paresthesia
Subject
Lower Extremity
Predicate
LOCATION_OF
Object
Paresthesia
8. Paresthesia PROCESS_OF Patients
Subject
Paresthesia
Predicate
PROCESS_OF
Object
Patients
9. Nerve injury CAUSES Vestibular Neuronitis
Subject
Nerve injury
Predicate
CAUSES
Object
Vestibular Neuronitis
10. Neuritis PROCESS_OF Pregnant Women
Subject
Neuritis
Predicate
PROCESS_OF
Object
Pregnant Women
11. Paresthesia PROCESS_OF Pregnant Women
Subject
Paresthesia
Predicate
PROCESS_OF
Object
Pregnant Women
12. Weakness PROCESS_OF Pregnant Women
Subject
Weakness
Predicate
PROCESS_OF
Object
Pregnant Women
13. Coronavirus Infections PROCESS_OF Family
Subject
Coronavirus Infections
Predicate
PROCESS_OF
Object
Family
14. Auricular LOCATION_OF Pain
Subject
Auricular
Predicate
LOCATION_OF
Object
Pain
15. immunoglobulins, intravenous TREATS Patients
Subject
immunoglobulins, intravenous
Predicate
TREATS
Object
Patients
16. Lower Extremity LOCATION_OF Paresthesia
Subject
Lower Extremity
Predicate
LOCATION_OF
Object
Paresthesia
17. Paresthesia PROCESS_OF Patients
Subject
Paresthesia
Predicate
PROCESS_OF
Object
Patients
18. Nerve injury CAUSES Vestibular Neuronitis
Subject
Nerve injury
Predicate
CAUSES
Object
Vestibular Neuronitis
ABSTRACT
SARS-CoV-2 is an infection due to a novel virus belonging to the coronavirus family. Since December 2019, first human cases of COVID-19 have been identified in Wuhan (China) and rapidly has been progressed to a global pandemic declared by the world health organization (WHO) on March 11th 2020. The major complication of COVID-19, is pneumonia, but other presentations like cardiovascular and neurological complications have been reported. Herein, we report a first case of pregnant women presented with bifacial weakness and paraesthesia (BFP) associated to a vestibulocochlear neuritis as post-COVID-19 manifestation. This is a 36-year-old Moroccan female patient with a history of SARS-CoV-2 positive 6 weeks before admission. She presented to the emergency department with rapid bifacial paralysis, bilateral lower extremity paresthesia, vertigo, nausea, vomiting and right auricular pain. An acute stroke was ruled out after neurological examination and brain MRI. Clinical presentation, neurophysiological, audiometry and videonystagmography workup additionally to CSF findings were suggestive of a variant of Guillain Barré Syndrome (GBS), which is BFP associated to right vestibulocochlear neuritis. The patient was treated with Intravenous immunoglobulins (IVIG) therapy associated with intravenous steroids. The patient made a complete recovery of the right facial palsy and the sensorineural hearing loss but still have tingling in lower limbs and left facial palsy at 2 weeks´ follow-up. BFP can be induced by COVID-19 as a postinfectious immune-mediated complication. Regarding the pathophysiology of vestibular neuritis, is probably similar to other viral infection causing nerve damage. Clinicians should consider the association of vestibulocochlear neuritis and BFP as a post SARS-CoV-2 manifestation.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pregnancy Complications, Infectious / Vestibular Neuronitis / Guillain-Barre Syndrome / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study / Risk factors Limits: Adult / Female / Humans / Pregnancy Language: English Journal: Pan Afr Med J Year: 2021 Document Type: Article Affiliation country: Pamj.2021.38.30.27646

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pregnancy Complications, Infectious / Vestibular Neuronitis / Guillain-Barre Syndrome / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study / Risk factors Limits: Adult / Female / Humans / Pregnancy Language: English Journal: Pan Afr Med J Year: 2021 Document Type: Article Affiliation country: Pamj.2021.38.30.27646