Critical illness neuropathy in severe COVID-19: a case series.
COVID-19
Critical illness myopathy
Critical illness neuropathy
Neurophysiology
SARS-CoV-2
Journal
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
ISSN: 1590-3478
Titre abrégé: Neurol Sci
Pays: Italy
ID NLM: 100959175
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
30
04
2021
accepted:
07
07
2021
pubmed:
4
9
2021
medline:
15
12
2021
entrez:
3
9
2021
Statut:
ppublish
Résumé
Neurological complications of SARS-CoV-2 disease have received growing attention, but only few studies have described to date clinical and neurophysiological findings in COVID patients during their stay in intensive care units (ICUs). Here, we neurophysiologically assessed the presence of either critical illness neuropathy (CIP) or myopathy (CIM) in ICU patients. Patients underwent a neurophysiological assessment, including bilateral examination of the median, ulnar, deep peroneal and tibial motor nerves and of the median, ulnar, radial and sural sensory nerves. Needle electromyography (EMG) was performed for both distal and proximal muscles of the lower and upper limbs. In order to differentiate CIP from CIM, Direct Muscle Stimulation (DMS) was applied either to the deltoid or tibialis anterior muscles. Peak to peak amplitudes and onset latencies of the responses evoked by DMS (DMS Nerve conduction studies showed a sensory-motor polyneuropathy with axonal neurogenic pattern, as confirmed by needle EMG. Both MNS We have described COVID patients in the ICU with critical illness neuropathy (CIP). COVID-related CIP could have implications for the functional recovery and rehabilitation strategies.
Identifiants
pubmed: 34477990
doi: 10.1007/s10072-021-05471-0
pii: 10.1007/s10072-021-05471-0
pmc: PMC8414960
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
4893-4898Subventions
Organisme : Fondazione Romeo ed Enrica Invernizzi
ID : Bando Covid 2019
Informations de copyright
© 2021. Fondazione Società Italiana di Neurologia.
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