FACIAL NERVE NEUROPATHY DURING THE COVID-19 PANDEMIC: CLINICAL FEATURES, ACUPUNCTURE TREATMENT APPROACHES



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Abstract

The purpose of the study is to study the clinical features of the course of NLN after COVID-19. Develop reflexology approaches to treatment. To compare the course of NLN in patients with a history of coronavirus infection and without a history of COVID-19 infection.

Materials and methods. The study group (after COVID-19) consisted of 16 patients with neuropathy of the facial nerve (13 men, 3 women). The comparison group included 21 patients with NLN without a history of COVID-19 (men – 15; women – 6). For a comprehensive assessment of patients, data from clinical, neurological, and electroneuromyographic (ENMG) examinations were used.

Results. The results of treatment of 16 patients with neuropathy of the facial nerve developed up to 12 weeks after suffering from COVID-19 were analyzed. The onset of the disease was accompanied by an episode of arterial hypertension, which was observed for the first time in two patients. The damage to nerve fibers was mixed and severe (more than 52%). The dynamics of clinical and electrophysiological parameters in the study group (after COVID-19) were significantly slower compared to the group without a history of COVID.

Conclusion. Facial nerve neuropathy that develops after COVID-19 is characterized by severe damage to nerve fibers and a long course. Reflexology is an effective, safe method as part of complex therapy.

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About the authors

Galina O Andreeva

S.M Kirov Military Medical Academy, Saint Petersburg, Russia

Author for correspondence.
Email: galinandreev@yandex.ru
ORCID iD: 0000-0002-0350-3063
SPIN-code: 7128-6905
ResearcherId: I-4820-2016

M.D., D.Sc.

Russian Federation, 6, Akademika Lebedeva str., Saint Petersburg, 194044, Russia

Miroslav M Odinak

Военно-медицинская академия имени С.М.Кирова

Email: odinak@rambler.ru
ORCID iD: 0000-0002-7314-7711
SPIN-code: 1155-9732
Scopus Author ID: 7003327776
ResearcherId: I-6024-2016

Corresponding Member of the Russian Academy of Sciences, M.D., D.Sc. (Medicine), Professor

Russian Federation, 194044, Россия, Санкт-Петербург, ул. Академика Лебедева, д. 6

Elena V Litvinenko

Военно-медицинская академия имени С.М.Кирова

Email: elenalitv@list.ru
ORCID iD: 0000-0002-2907-3129
SPIN-code: 5900-4225

заведующий кабинетом рефлексотерапии клиники нервных болезней

Russian Federation, 194044, Россия, Санкт-Петербург, ул. Академика Лебедева, д. 6

Vladimir Yu Lobzin

Военно-медицинская академия имени С.М.Кирова

Email: vladimirlobzin@mail.ru
ORCID iD: 0000-0003-3109-8795
SPIN-code: 7779-3569
Scopus Author ID: 579578
ResearcherId: I-4819-2016

Professor

Russian Federation, 194044, Россия, Санкт-Петербург, ул. Академика Лебедева, д. 6

El'vira V SHishkina

Gorodskoj konsul'tativno-diagnosticheskij centr №1

Email: elllia@mail.ru

acupuncturist doctor

Russian Federation, 10 Sikeyrosa str., Saint Petersburg, 194044 Russia

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