Bell’s Palsy Presented in the Course of COVID-19 Infection

Year 2023, Volume: 12 Issue: 3, 218 - 222, 29.12.2023

Ferda Büyük , Esra Şahingöz Bakırcı , Gülseren Demir Karakılıç

https://doi.org/10.47493/abantmedj.1311656

Abstract

COVID-19 is an infectious disease caused by a newly discovered coronavirus (SARS-COV-2) that can cause a broad spectrum of symptoms, from asymptomatic to severe respiratory failure. Although the virus mainly affects the respiratory system, it is also known to affect many other systems. Myalgia, hyposmia, anosmia, and Guillain-Barre Syndrome are the most common manifestations due to the peripheral nervous system being affected by the virus. Bell's palsy is a unilateral and sudden facial nerve paralysis. Viral infections are most frequently blamed for etiopathogenesis. Bell palsy due to COVID-19 infection has been reported in the literature as a rare complication. In this case, we wanted to emphasize that Bell's palsy should be kept in mind among the neurological complications that may develop due to COVID-in in a patient who developed Bell's palsy after being diagnosed with COVID-19.

Keywords

Bell’s palsy, COVID-19, neurological complication

COVİD-19 Enfeksiyonu Sırasında Gelişen Bell Palsi

Abstract

COVID-19 hastalığı yeni keşfedilen bir koronavirüsün (SARS-COV-2) sebep olduğu asemptomatik seyirden ağır solunum yetmezliğine kadar geniş spektrumda semptomlara yol açabilen bulaşıcı bir hastalıktır. Virüs esas olarak respiratuvar sistemi etkilemekle birlikte başka sistemleri de etkilediği bilinmektedir. Bunlardan biri de nörolojik sistemdir. Virüse bağlı periferik sinir sisteminin etkilenmesiyle en sık miyalji, hipozmi, anozmi ve Guillain Barre Sendromu görülmektedir. BP etyolojisinde en sık viral enfeksiyonların suçlandığı tek taraflı ve ani gelişen fasiyal sinir paralizidir. COVID-19 enfeksiyonuna bağlı gelişen Bell paralizisi (BP) nadir bir komplikasyon olarak literatürde bildirilmiştir. Bu vakada COVID-19 tanısı aldıktan sonra BP gelişen bir hastayı sunarak: BP’nin COVID-19’ a bağlı gelişebilecek nörolojik komplikasyonlar arasında akılda bulundurulması gerektiğini vurgulamak istedik.

Keywords

Bell paralizisi, COVID- 19, nörolojik komplikasyon

References

• Wu Y, Jing W, Liu J, et al. Effects of temperature and humidity on the daily new cases and new deaths of COVID-19 in 166 countries. Science of the Total Environment 2020;729:139051.
• Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. jama 2020;323(13):1239-42.
• Karadaş Ö, Öztürk B, Sonkaya AR. A prospective clinical study of detailed neurological manifestations in patients with COVID-19. Neurological Sciences 2020;41:1991-95.
• Goh Y, Beh DL, Makmur A, et al. Pearls and oy-sters: facial nerve palsy as a neurological manifestation of Covid-19 infection. Neurology 2020.
• Cavalcante TM, Gubert VT, Lima CdD, et al. Late peripheral facial paralysis after COVID-19: a rapid systematic review and two case reports. Journal of Venomous Animals and Toxins including Tropical Diseases 2022;28.
• Egilmez OK, Gündoğan ME, Yılmaz MS, et al. Can COVID-19 cause peripheral facial nerve palsy? SN Comprehensive Clinical Medicine 2021;3(8):1707-13.
• Zhao H, Zhang X, Zhu J, et al. Bell's palsy: clinical analysis of 372 cases and review of related literature. European neurology 2017;77(3-4):168-72.
• Murthy J, Saxena AB. Bell's palsy: Treatment guidelines. Annals of Indian academy of neurology 2011;14(Suppl1):S70.
• Niazkar HR, Zibaee B, Nasimi A, et al. The neurological manifestations of COVID-19: a review article. Neurological Sciences 2020;41:1667-71.
• Ji X, Zhang C, Zhai Y, et al. TWIRLS, an automated topic-wise inference method based on massive literature, suggests a possible mechanism via ACE2 for the pathological changes in the human host after coronavirus infection. bioRxiv 2020:2020.02. 27.967588.
• Wan Y, Cao S, Fang Q, et al. Coronavirus disease 2019 complicated with Bell’s palsy: a case report. 2020.
• Ahmad I, Rathore FA. Neurological manifestations and complications of COVID-19: A literature review. Journal of clinical neuroscience 2020;77:8-12.
• Lima MA, Silva MTT, Soares CN, et al. Peripheral facial nerve palsy associated with COVID-19. Journal of neurovirology 2020;26(6):941-44.
• Islamoglu Y, Celik B, Kiris M. Facial paralysis as the only symptom of COVID-19: A prospective study. American Journal of Otolaryngology 2021;42(4):102956.
• Codeluppi L, Venturelli F, Rossi J, et al. Facial palsy during the COVID‐19 pandemic. Brain and behavior 2021;11(1):e01939.