KMID : 1161920230200020103
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Journal of Medicine and Life Science 2023 Volume.20 No. 2 p.103 ~ p.106
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Unilateral hypoglossal nerve palsy after mild COVID-19: a case report
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Lee Sang-Jae
Song Si-Youn Na Hyung-Gyun Bae Chang-Hoon Kim Yong-Dae Choi Yoon-Seok
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Abstract
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Post-acute coronavirus disease (COVID-19) syndrome is defined as persistent symptoms or delayed complications after COVID-19. Several cases of cranial nerve invasion related to COVID-19 have been reported. However, to our knowledge, no cases of solitary unilateral hypoglossal nerve paralysis after mild COVID-19 without intubation have been reported to date. Herein, we report the case of a 64-year-old man with unilateral hypoglossal nerve palsy as a complication of COVID-19. He complained of dysarthria and tongue discomfort 2 weeks after COVID-19 onset. Brain and neck computed tomography, magnetic resonance imaging, ultrasonography, and blood tests ruled out other possible causes. The patient¡¯s nerve palsy was rapidly diagnosed and improved with early rehabilitation.
Understanding of the pathology of COVID-19 is still limited. Physicians should focus on patients¡¯ symptoms and their relationship to COVID-19, and investigate complications immediately. This case highlights the importance of early detection and rehabilitation of post-acute COVID-19 syndrome.
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KEYWORD
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COVID-19, SARS-CoV-2, Post-acute COVID-19 syndrome, Hypoglossal nerve, Rehabilitation
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