RESUMO
COVID-19 disease has spread around the world since December 2019. Neurological symptoms are part of its clinical spectrum. ObjectiveTo know the neurological manifestations in patients infected by COVID-19 in Argentina. MethodsMulticenter study conducted in adults, from May 2020 to January 2021, with confirmed COVID-19 and neurological symptoms. Demographic variables, existence of systemic or neurological comorbidities, the form of onset of the infection, alteration in complementary studies and the degree of severity of neurological symptoms were recorded. Results817 patients from all over the country were included, 52% male, mean age 38 years, most of them without comorbidities or previous neurological pathology. The first symptom of the infection was neurological in 56.2% of the cases, predominantly headache (69%), then anosmia / ageusia (66%). Myalgias (52%), allodynia / hyperalgesia (18%), and asthenia (6%) were also reported. 3.2% showed diffuse CNS involvement such as encephalopathy or seizures. 1.7% had cerebrovascular complications. Sleep disorders were observed in 3.2%. 6 patients were reported with Guillain Barre (GBS), peripheral neuropathy (3.4%), tongue paresthesia (0.6%), hearing loss (0.4%), plexopathy (0.3%). The severity of neurological symptoms was correlated with age and the existence of comorbidities. ConclusionsOur results, similar to those of other countries, show two types of neurological symptoms associated with COVID-19: some potentially disabling or fatal such as GBS or encephalitis, and others less devastating, but more frequent such as headache or anosmia that demand increasingly long-term care.
RESUMO
En la Provincia de Bs.As. la tasa de mortalidad específca por IRA ha disminuido entre los años 2001 y 2010 de 7,1 a 4,4 casos por 10.000 nacidos; siendo un rasgo distintivo el aumento de la mortalidad domiciliaria en el menor de 1 año, situación que se viene registrando desde 2007. Se presenta una situación clínica junto al Flujograma de decisión terapéutica según puntaje clínico en el menor de distintas edades para el síndrome bronquial obstructivo, como también el tratamiento
Assuntos
Recém-Nascido , Lactente , Pré-Escolar , Broncopatias/terapia , Bronquiolite , Doenças do Recém-NascidoRESUMO
The isolated unilateral palsy of the hypoglossal nerve is an unusual sign in daily medical practice. We present the case of a 74 year old man, without relevant medical history, who started with headache and difficulty to swallow. On the physical examination, he had isolated hypoglossal nerve palsy without evidence of tongue atrophy or fasciculation. The patient had a good spontaneous evolution. Idiopathic isolated hypoglossal nerve palsy requires an exhaustive evaluation with neuroimages and complementary exams. It usually presents partial or total spontaneous remission.
Assuntos
Doenças do Nervo Hipoglosso/diagnóstico , Paralisia/diagnóstico , Idoso , Humanos , Masculino , Remissão EspontâneaRESUMO
La parálisis aislada del nervio hipogloso es un signo infrecuentemente observado en la práctica neurológica diaria. Se presenta el caso de un hombre de 74 años, sin antecedentes clínicos de importancia, que consultó por comenzar en forma aguda con dolor retroauricular y dificultad en la deglución. En el examen neurológico se constató paresia del nervio hipogloso izquierdo como único dato positivo, sin evidencia de atrofia o fasciculaciones. Los estudios de neuroimágenes no mostraron hallazgos patológicos. El paciente evolucionó favorablemente en forma espontánea. La parálisis aislada e idiopática del nervio hipogloso requiere una exhaustiva evaluación con neuroimágenes y exámenes complementarios. Habitualmente presenta remisión parcial o total espontánea.(AU)
The isolated unilateral palsy of the hypoglossal nerve is an unusual sign in daily medical practice. We present the case of a74 year old man, without relevant medical history, who started with headache and difficulty to swallow. On the physical examination, he had isolated hypoglossal nerve palsy without evidence of tongue atrophy or fasciculation. The patient had a good spontaneous evolution. Idiopathic isolated hypoglossal nerve palsy requires an exhaustive evaluation with neuroimages and complementary exams. It usually presents partial or total spontaneous remission.(AU)
RESUMO
La parálisis aislada del nervio hipogloso es un signo infrecuentemente observado en la práctica neurológica diaria. Se presenta el caso de un hombre de 74 años, sin antecedentes clínicos de importancia, que consultó por comenzar en forma aguda con dolor retroauricular y dificultad en la deglución. En el examen neurológico se constató paresia del nervio hipogloso izquierdo como único dato positivo, sin evidencia de atrofia o fasciculaciones. Los estudios de neuroimágenes no mostraron hallazgos patológicos. El paciente evolucionó favorablemente en forma espontánea. La parálisis aislada e idiopática del nervio hipogloso requiere una exhaustiva evaluación con neuroimágenes y exámenes complementarios. Habitualmente presenta remisión parcial o total espontánea.
The isolated unilateral palsy of the hypoglossal nerve is an unusual sign in daily medical practice. We present the case of a74 year old man, without relevant medical history, who started with headache and difficulty to swallow. On the physical examination, he had isolated hypoglossal nerve palsy without evidence of tongue atrophy or fasciculation. The patient had a good spontaneous evolution. Idiopathic isolated hypoglossal nerve palsy requires an exhaustive evaluation with neuroimages and complementary exams. It usually presents partial or total spontaneous remission.
