Saratov JOURNAL of Medical and Scientific Research

Neurological complications associated with novel coronavirus infection U07.1 COVID-19

Year: 2022, volume 18 Issue: №1 Pages: 150-155
Heading: Тhematic supplement Article type: Case report
Authors: Ulyanova O.V., Ermolenko N.A., Dudina A.A., Belinskaya V.V., Golovina N.P., Artyomov S.V., Likhacheva-Khachapuridze I.Ch.
Organization: Voronezh Emergency City Hospital №1, Voronezh State Medical University n.a. N.N. Burdenko

The SARS-CoV 2 virus infects lung tissue, blood vessels of the heart, brain (GM), peripheral and central nervous system. There is a decrease in immunity, and with damage to the kidneys, spleen, liver and pancreas, a syndrome of multiple organ failure occurs. With the defeat of the paranasal sinuses, the development of frontal sinusitis, sphenoid-itis, ethmoiditis is possible, followed by powerful necrosis of the tissues of the head and neck, the development of an abscess of the brain. The author considers her own clinical observation of patient M., 42 years old, with a diagnosis: "BM abscess in the basal parts of the frontal lobes. Ischemic stroke in the basin of the left middle cerebral artery (MCA). Novel coronavirus infection U07.1 COVID-19, severe form. Community-acquired bilateral polysegmental viral-bacterial pneumonia. Bilateral frontal sinusitis, ethmoiditis, right-sided sinusitis, right-sided sphenoiditis. This clinical case draws attention to the fact that the combination of this pathology led to formidable complications: thrombosis of the right internal carotid artery (ICA); mucormycosis of the nasal bones, thrombosis of the cavernous sinus. Peripheral nervous system lesions in the form of multiple cranial polyneuropathy were stated. Ischemic stroke in the territory of the left MCA. The presented observation will be a definite contribution to the accumulation of data and will help in organizing basic and additional studies in neurological patients with a new coronavirus infection U07.1 COVID-19.

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