Original Research Article
Year: 2022 | Month: August | Volume: 12 | Issue: 8 | Pages: 154-159
DOI: https://doi.org/10.52403/ijhsr.20220822
Analysis of Nerve Conduction Parameters in Post-Covid-19 Patients with Neuropathic symptoms
Vandana Indraprakash Pattni1, Hardini Prajapati2
11Associate Professor, Merchant College of Physiotherapy, Hemchandracharya North Gujarat University, Mehsana, India.
Research Scholar in Physiotherapy, Gujarat University, India.
2MPT Cardiopulmonary, Senior Lecturer and PG Guide, Ahmedabad Institute of Medical Sciences, College of Physiotherapy, Affiliated to Gujarat University, Ahmedabad, Gujarat, India
Corresponding Author: Vandana Indraprakash Pattni
ABSTRACT
Background: World is confronting various deleterious consequences of Covid-19. Neurological complications are of paramount importance amongst these. One of the uprooting neurological complications is of peripheral neuropathy. Nerve conduction study utilizes evaluation of conduction properties of nerves to diagnose and classify type of neuropathy.
Objective: The present study aims to identify the type of neuropathy in post-covid-19 patients with neuropathic symptoms.
Materials and Method: RMS SALUS software was used. Bilateral Median, Ulnar, Tibial and Common Peroneal motor nerves and Bilateral Median, Ulnar, Sural and Superficial peroneal sensory nerves were studied. Parameters included Compound muscle action potential (CMAP), Sensory nerve action potential (SNAP) and Nerve conduction velocity (NCV) measured in millivolt, microvolt and meter/second, respectively.
Result: Eighteen post-covid-19 patients with neuropathic symptoms underwent the procedure. Fourteen of them were electrodiagnostically proven cases of Guillain Barre Syndrome (GBS). Variants of GBS included seven cases of Acute inflammatory Demyelinating Polyneuropathy(AIDP), six of Acute motor sensory axonal neuropathy (AMSAN), one of Acute motor axonal neuropathy (AMAN). Out of the rest of four patients, two had normal nerve conduction findings in spite of having symptoms of muscular weakness and numbness. Other two had mononeuropathy.
Conclusion: While the neurological sequelae of Covid-19 are still underexplored, health care workers must be aware of the possible serious life threatening neurological complications as is GBS. Being an autoimmune disease, GBS can be triggered by Covid-19 infection. Nerve conduction study holds the mainstay for the diagnosis of neuropathy.
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Key words: Covid-19, SARS-CoV-2, Acute Inflammatory demyelinating Polyneuropathy, Guillain Barre Syndrome, Nerve conduction study.