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Case report
Otoneurological presentations of COVID-19
  1. Kiran J Shinde1,
  2. Tulasi Karanth1,2 and
  3. Aditya M Yeolekar1,3
  1. 1ENT-HNS, Smt Kashibai Navale Medical College and General Hospital, Pune, Maharashtra, India
  2. 2ENT-HNS, Kasturba Medical College, Manipal, Karnataka, India
  3. 3ENT-HNS, Post Graduate Institute, YCM Hospital, PCMC, Pune, Maharashtra, India
  1. Correspondence to Tulasi Karanth; karanthtk{at}gmail.com

Abstract

COVID-19 usually begins with respiratory symptoms but may also cause neurological disturbances by direct (viral invasion) or indirect (immune-mediated) mechanism. Common neurological injury described in the literature include infectious toxic encephalopathy, viral encephalitis and Guillain-Barré syndrome. We present two cases diagnosed with COVID-19 who presented with isolated neurological deficit along facial nerve and vestibular nerve. Both recovered with medical management and rehabilitative exercises. Isolated neurological impairment in otorhinolaryngological practice may be the primary presentation or delayed feature of COVID-19.

  • COVID-19
  • otolaryngology / ENT
  • cranial nerves

This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

https://doi.org/10.1136/bcr-2021-241893

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    Footnotes

    • Contributors TK: data collection and writing. KJS and AMY: editing.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.