Facial palsy during the COVID-19 pandemic
© 2020 The Authors. Brain and Behavior published by Wiley Periodicals LLC..
OBJECTIVE: To compare the incidence and clinical features of individuals presenting in emergency rooms (ER) with facial palsy during the Italian COVID-19 outbreak and in the same period of 2019.
METHODS: We retrospectively reviewed the medical records for all accesses to the six ER in the province of Reggio Emilia, Italy, during the first phase of the COVID-19 pandemic (27 February-3 May 2020) to identify all cases of diagnosed facial palsy. Clinical information was retrieved for each patient and compared with that of facial palsy cases presenting in 2019.
RESULT: Between 27 February and 3 May 2020, 38 patients presented to provincial ERs for facial palsy; in 2019, there were 22 cases, for an incidence rate ratio of 1.73 (95% CI 1.02-2.92) for the 2020 cohort. Of the 2020 cohort, eight patients (21%) presented with active or recent symptoms consistent with COVID-19 infection, compared with 2 (9%) in 2019 (p = .299); one was tested and resulted positive for SARS-CoV-2. Moreover, patients were younger (-11 years, p = .037) than those of the previous year and manifested a longer lag (+1.1 days, p = .001) between symptoms onset and ER presentation.
CONCLUSION: We observed a higher occurrence of facial palsy during the COVID-19 outbreak compared to the same period of the previous year; 21% of patients presenting with facial palsy had active or recent symptoms consistent with SARS-CoV-2 infection, suggesting an excess risk of facial palsy during or after COVID-19. These patients searched for medical attention later, probably because of the fear of contracting COVID-19 during assistance.
| Errataetall: |
CommentIn: Brain Behav. 2021 Feb;11(2):e01996. - PMID 33314783 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:11 |
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| Enthalten in: |
Brain and behavior - 11(2021), 1 vom: 11. Jan., Seite e01939 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Codeluppi, Luca [VerfasserIn] |
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| Links: |
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| Themen: |
Bell's palsy |
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| Anmerkungen: |
Date Completed 08.02.2021 Date Revised 23.02.2021 published: Print-Electronic CommentIn: Brain Behav. 2021 Feb;11(2):e01996. - PMID 33314783 Citation Status MEDLINE |
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| doi: |
10.1002/brb3.1939 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM317272101 |
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| 500 | |a CommentIn: Brain Behav. 2021 Feb;11(2):e01996. - PMID 33314783 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2020 The Authors. Brain and Behavior published by Wiley Periodicals LLC. | ||
| 520 | |a OBJECTIVE: To compare the incidence and clinical features of individuals presenting in emergency rooms (ER) with facial palsy during the Italian COVID-19 outbreak and in the same period of 2019 | ||
| 520 | |a METHODS: We retrospectively reviewed the medical records for all accesses to the six ER in the province of Reggio Emilia, Italy, during the first phase of the COVID-19 pandemic (27 February-3 May 2020) to identify all cases of diagnosed facial palsy. Clinical information was retrieved for each patient and compared with that of facial palsy cases presenting in 2019 | ||
| 520 | |a RESULT: Between 27 February and 3 May 2020, 38 patients presented to provincial ERs for facial palsy; in 2019, there were 22 cases, for an incidence rate ratio of 1.73 (95% CI 1.02-2.92) for the 2020 cohort. Of the 2020 cohort, eight patients (21%) presented with active or recent symptoms consistent with COVID-19 infection, compared with 2 (9%) in 2019 (p = .299); one was tested and resulted positive for SARS-CoV-2. Moreover, patients were younger (-11 years, p = .037) than those of the previous year and manifested a longer lag (+1.1 days, p = .001) between symptoms onset and ER presentation | ||
| 520 | |a CONCLUSION: We observed a higher occurrence of facial palsy during the COVID-19 outbreak compared to the same period of the previous year; 21% of patients presenting with facial palsy had active or recent symptoms consistent with SARS-CoV-2 infection, suggesting an excess risk of facial palsy during or after COVID-19. These patients searched for medical attention later, probably because of the fear of contracting COVID-19 during assistance | ||
| 650 | 4 | |a Journal Article | |
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| 650 | 4 | |a Bell's palsy | |
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| 650 | 4 | |a SARS-CoV-2 | |
| 650 | 4 | |a facial palsy | |
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| 700 | 1 | |a Toschi, Giulia |e verfasserin |4 aut | |
| 700 | 1 | |a Pacillo, Francesca |e verfasserin |4 aut | |
| 700 | 1 | |a Cavallieri, Francesco |e verfasserin |4 aut | |
| 700 | 1 | |a Giorgi Rossi, Paolo |e verfasserin |4 aut | |
| 700 | 1 | |a Valzania, Franco |e verfasserin |4 aut | |
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