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10.7759/cureus.13881

http://scihub22266oqcxt.onion/10.7759/cureus.13881
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33868845!8043567!33868845
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suck abstract from ncbi

pmid33868845      Cureus 2021 ; 13 (3): e13881
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  • Bell s Palsy as a Late Neurologic Manifestation of COVID-19 Infection #MMPMID33868845
  • Oke IO; Oladunjoye OO; Oladunjoye AO; Paudel A; Zimmerman R
  • Cureus 2021[Mar]; 13 (3): e13881 PMID33868845show ga
  • Bell's palsy is acute peripheral facial nerve palsy; its cause is often unknown but it can be triggered by acute viral infection. Coronavirus disease 2019 (COVID-19) infection commonly presents with respiratory symptoms, but neurologic complications have been reported. A few studies have reported the occurrence of facial nerve palsy during the COVID-19 pandemic. We present a case of Bell's palsy in a 36-year-old man with COVID-19 infection and a past medical history of nephrolithiasis. He presented to the emergency room with a day history of sudden right facial weakness and difficulty closing his right eye four weeks following a diagnosis of COVID-19 infection. Physical examination revealed right lower motor neuron facial nerve palsy (House-Brackmann grade IV). Serologic screen for Lyme disease, human immunodeficiency virus (HIV), and herpes simplex virus (HSV) 1 and 2 were negative for acute infection; however, neuroimaging with MRI confirmed Bell's palsy. He made remarkable improvement following treatment with a course of valacyclovir and methylprednisolone. This case adds to the growing body of literature on neurological complications that should be considered when managing patients with COVID-19 infection.
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