在COVID-19感染后的儿科患者中持续的姿势感知头 (PPPD)
Kimberley S Noij1, Vidya Babu1, Megan Drews2
1Johns Hopkins University School of Medicine, Department of Otolaryngology - Head and Neck Surgery, Baltimore, MD, USA.
International journal of pediatric otorhinolaryngology
|August 23, 2024
概括
青少年长期COVID患者被诊断患有持续的姿势感知性头 (PPPD) 显示症状改善与前体物理治疗,药物治疗和认知行为治疗. 这项研究为管理这些具有挑战性的案件提供了一个框架.
科学领域:
- 神经学 神经学
- 静脉管疾病 静脉管疾病
- 传染病并发症 传染病并发症
背景情况:
- 长期COVID的特点是SARS-CoV-2感染后的持续症状.
- 长期COVID的青少年可能会出现严重的头.
- 持久的姿势感知头 (PPPD) 是这个人群中一个新认可的诊断.
研究的目的:
- 描述青少年长期COVID患者中PPPPD的症状和诊断.
- 在这个队列中评估PPPPD各种治疗方式的有效性.
- 为医疗保健提供者建立诊断和治疗框架.
主要方法:
- 在儿科前庭诊所对9名被诊断患有PPPPD的青少年患者进行了回顾性审查.
- 病史分析,前体检测,以及患者护理人员 (DHI-pc) 的头障碍清单得分.
- 后续调查,以评估治疗坚持和结果.
主要成果:
- 所有9名患者被诊断患有PPPPD,并接受治疗,包括前庭物理治疗,SSRI和CBT.
- 大多数患者报告症状有所改善.
- 所有患者在治疗后都表现出改善的活动水平和DHI-pc得分.
结论:
- 这一病例系列是第一个在青少年长期COVID患者中报告PPPD的病例.
- 多模式治疗方法在管理PPPD症状方面是有效的.
- 结果为临床实践和未来研究提供了宝贵的见解.
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