Journal of Global Infectious Diseases (Jan 2021)

Facial nerve palsy as a neurological manifestation of COVID-19

  • Alfredo Santos Pinheiro Martins,
  • Francisco Javier Fanjul Losa,
  • Helem Haydee Vilchez Rueda,
  • Mercedes García-Gasalla

DOI
https://doi.org/10.4103/jgid.jgid_360_20
Journal volume & issue
Vol. 13, no. 4
pp. 183 – 185

Abstract

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Facial nerve palsy is the most frequent acute mononeuropathy and it is often of viral etiology, although many other causes have been identified. It has recently been described as a potential manifestation of COVID-19. We report the case of a patient with recent history of diarrhea and malaise that was admitted to the hospital presenting right facial paresis with orbicular muscle involvement. Nasopharyngeal swab tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on the real-time reverse transcription polymerase chain reaction and magnetic resonance imaging showed no structural changes. During the hospital stay, the patient showed clinical improvement, and no other symptoms were observed. This case presentation suggests a possible association between neuropathies and SARS-CoV-2 infection.

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