DOAJ Open Access 2023

Selective demyelination of a sciatic nerve allograft after SARS-CoV-2 infection – Case report

Magdalena Koszewicz Dorota Kaminska Jacek Martynkiewicz Adam Domanasiewicz Jerzy Gosk

Abstrak

Peripheral neurological complications are seen after SARS-CoV-2 infections. These are mostly immune-mediated such as Guillaine–Barré syndrome or chronic inflammatory demyelinating polyneuropathy. We present a 39-year-old man treated with a right sciatic nerve allotransplantation with subsequent clinical and electrophysiological improvement within 30 months of observation. After SARS-CoV-2 infection, he developed clinical deterioration with selective sciatic nerve demyelination in a nerve conduction study. Nerve conduction velocity returned to previous values within six months of treatment. Intravenous immunoglobulins were used at standard dosage. The inflammatory immune process seemed to be a cause of peripheral demyelination isolated to a nerve allograft with good reaction for intravenous immunoglobulin treatment.

Penulis (5)

M

Magdalena Koszewicz

D

Dorota Kaminska

J

Jacek Martynkiewicz

A

Adam Domanasiewicz

J

Jerzy Gosk

Format Sitasi

Koszewicz, M., Kaminska, D., Martynkiewicz, J., Domanasiewicz, A., Gosk, J. (2023). Selective demyelination of a sciatic nerve allograft after SARS-CoV-2 infection – Case report. https://doi.org/10.1016/j.heliyon.2023.e20624

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Informasi Jurnal
Tahun Terbit
2023
Sumber Database
DOAJ
DOI
10.1016/j.heliyon.2023.e20624
Akses
Open Access ✓