Facial nerve neuropathies after a new coronavirus infection: a clinical observation

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Abstract

The article is devoted to the issues of peripheral nervous system damage in new coronavirus infection. Among the nosologic forms of peripheral nervous system lesions in new coronavirus infection are mononeuropathies, polyneuropathies, multiple neuropathies, and noninflammatory polyneuropathies. In the largest retrospective study to date of cranial nerve pathology in COVID-19, dysfunction was observed in 38% of infected individuals. Facial nerve involvement was most common (30%). The article presents a clinical observation of facial nerve neuropathy after a new coronavirus infection with an assessment of the clinical picture, data of laboratory and instrumental investigations, therapy and long-term results. A possible causal relationship between COVID-19 and peripheral nervous system lesions is discussed.

About the authors

Nadezhda V. Amosova

Sokolov North-Western District Scientific and Clinical Center; Almazov National Medical Research Centre

Author for correspondence.
Email: Rebecca_aleks@mail.ru
ORCID iD: 0000-0002-3178-8393

Graduate Student

Russian Federation, Saint Petersburg; Saint Petersburg

Stanislav S. Kucherenko

Sokolov North-Western District Scientific and Clinical Center; Almazov National Medical Research Centre

Email: Rebecca_aleks@mail.ru
ORCID iD: 0000-0001-8258-094X

D. Sci. (Med.), Assoc. Prof.

Russian Federation, Saint Petersburg; Saint Petersburg

Tatiana M. Alekseeva

Almazov National Medical Research Centre

Email: Rebecca_aleks@mail.ru
ORCID iD: 0000-0002-4441-1165

D. Sci. (Med.), Prof.

Russian Federation, Saint Petersburg

Viacheslav A. Ratnikov

Sokolov North-Western District Scientific and Clinical Center; Saint Petersburg State University

Email: Rebecca_aleks@mail.ru
ORCID iD: 0000-0002-9645-8408

D. Sci. (Med.)

Russian Federation, Saint Petersburg; Saint Petersburg

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Supplementary files

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2. Fig. 1. Facial nerve in the labyrinthine part of the fallopian canal on CT scan of the temporal bones.

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3. Fig. 2, a, b. Facial nerve on MRI of the brain.

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4. Fig. 3. Facial nerve on MRI of cranial nerves: a – right facial nerve; b – left facial nerve.

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5. Fig. 4, a, b. Stimulation ENMG of motor fibers of the facial nerve. Normalization of the arc of the flashing reflex.

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