Selective cranial multineuritis in severe COVID-19 pneumonia: two cases and literature review.

OBJECTIVE: To report two cases of cranial multineuritis after severe acute respiratory syndrome caused by coronavirus-2. METHODS: Patients' data were obtained from medical records of the clinical chart of dell'Angelo Hospital, Venice, Italy. RESULTS: The first patient is a 42-year-old male patient who developed, 10 days after the resolution of coronavirus-2 pneumonia and intensive care unit hospitalization with hyperactive delirium, a cranial multineuritis with asymmetric distribution (bilateral hypoglossus involvement and right Claude Bernard Horner syndrome). No albumin-cytologic dissociation was found in cerebrospinal fluid; severe bilateral denervation was detected in hypoglossus nerve, with normal EMG of other cranial muscles, blink reflex, and cerebral magnetic resonance with gadolinium. He presented a striking improvement after intravenous human immunoglobulin therapy. The second case is a 67-year-old male patient who developed a cranial neuritis (left hypoglossus paresis), with dyslalia and deglutition difficulties. He had cerebrospinal fluid abnormalities (albumin-cytologic dissociation), no involvement of ninth and 10th cranial nerves, diffuse hyporeflexia, and brachial diparesis. DISCUSSION: Cranial neuritis is a possible neurological manifestation of coronavirus-2 pneumonia. Etiology is not clear: it is possible a direct injury of the nervous structures by the virus through olfactory nasopharyngeal terminations. However, the presence of albumin-cytological dissociation in one patient, the sparing of the sense of smell, and the response to human immunoglobulin therapy suggests an immune-mediated genesis of the disorder.

[Clinico-functional evaluation of flunisolide + salbutamol combination (VAL 679/A) vs salbutamol in pediatric patients]. / Valutazione clinico-funzionale dell'associazione flunisolide + salbutamolo (VAL 679/A) vs salbutamolo in pazienti pediatrici.

To establish the effectiveness of flunisolide + salbutamol vs salbutamol alone administered by metered aerosol in the phlogistic obstructive diseases, 18 children were evaluated. The treatments were evaluated on the basis of ventilatory function parameters and of tolerance. The results proved positive for all drugs, though the combination flunisolide + salbutamol produced a greater ventilatory and clinical effect.

Analysis of the 2nu1 + nu2 + 2nu3 Band of Ozone

The 2nu1 + nu2 + 2nu3 band of ozone, occurring in the 4780 cm-1 region, has been observed for the first time, using a Fourier transform spectrometer, at 0.008 cm-1 resolution and using a large path length pressure product. Assignments of vibration-rotational transitions have been made up to J = 48 and Ka = 9. As a few levels with Ka = 1 or 2 are perturbed, it has been necessary to take into account the Coriolis resonance between the (212) and (141) vibrational states. With the effective Hamiltonian explicitly accounting for the interaction between these two states, the fit on 165 energy levels leads to the rms deviation of 1.9 x 10(-3) cm-1, which is near the experimental accuracy. Line intensities of the 2nu1 + nu2 + 2nu3 band have been measured and calculated. The set of spectroscopic parameters for interacting bands, as well as transition moment constants, is given. A complete list of line positions and intensities, with a cutoff of 1 x 10(-26) cm-1/molecule.cm-2 at 296 K up to J = 65 and Ka = 15, has been generated, which leads to the integrated band intensity Sv (2nu1 + nu2 + 2nu3) = (5.1 +/- 2.0) x 10(-23) cm-1/molecule.cm-2. Copyright 1997Academic Press