The distribution of acquired peripheral nerve injuries associated with severe COVID-19 implicate a mechanism of entrapment neuropathy: a multicenter case series and clinical feasibility study of a wearable, wireless pressure sensor

Abstract We diagnosed 66 peripheral nerve injuries in 34 patients who survived severe coronavirus disease 2019 (COVID-19). We combine this new data with published case series re-analyzed here (117 nerve injuries; 58 patients) to provide a comprehensive accounting of lesion sites. The most common are...

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Main Authors: Colin K. Franz, Nikhil K. Murthy, George R. Malik, Jean W. Kwak, Dom D’Andrea, Alexis R. Wolfe, Ellen Farr, Melanie A. Stearns, Swati Deshmukh, Jinny O. Tavee, Fang Sun, Kevin N. Swong, Leslie Rydberg, R. James Cotton, Lisa F. Wolfe, James M. Walter, John M. Coleman, John A. Rogers
Format: Article
Language:English
Published: BMC 2022-10-01
Series:Journal of NeuroEngineering and Rehabilitation
Subjects:
Online Access:https://doi.org/10.1186/s12984-022-01089-1
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author Colin K. Franz
Nikhil K. Murthy
George R. Malik
Jean W. Kwak
Dom D’Andrea
Alexis R. Wolfe
Ellen Farr
Melanie A. Stearns
Swati Deshmukh
Jinny O. Tavee
Fang Sun
Kevin N. Swong
Leslie Rydberg
R. James Cotton
Lisa F. Wolfe
James M. Walter
John M. Coleman
John A. Rogers
author_facet Colin K. Franz
Nikhil K. Murthy
George R. Malik
Jean W. Kwak
Dom D’Andrea
Alexis R. Wolfe
Ellen Farr
Melanie A. Stearns
Swati Deshmukh
Jinny O. Tavee
Fang Sun
Kevin N. Swong
Leslie Rydberg
R. James Cotton
Lisa F. Wolfe
James M. Walter
John M. Coleman
John A. Rogers
author_sort Colin K. Franz
collection DOAJ
description Abstract We diagnosed 66 peripheral nerve injuries in 34 patients who survived severe coronavirus disease 2019 (COVID-19). We combine this new data with published case series re-analyzed here (117 nerve injuries; 58 patients) to provide a comprehensive accounting of lesion sites. The most common are ulnar (25.1%), common fibular (15.8%), sciatic (13.1%), median (9.8%), brachial plexus (8.7%) and radial (8.2%) nerves at sites known to be vulnerable to mechanical loading. Protection of peripheral nerves should be prioritized in the care of COVID-19 patients. To this end, we report proof of concept data of the feasibility for a wearable, wireless pressure sensor to provide real time monitoring in the intensive care unit setting.
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spelling doaj.art-665094b344114a9ca0ffdfa9641786c32022-12-22T02:26:25ZengBMCJournal of NeuroEngineering and Rehabilitation1743-00032022-10-011911910.1186/s12984-022-01089-1The distribution of acquired peripheral nerve injuries associated with severe COVID-19 implicate a mechanism of entrapment neuropathy: a multicenter case series and clinical feasibility study of a wearable, wireless pressure sensorColin K. Franz0Nikhil K. Murthy1George R. Malik2Jean W. Kwak3Dom D’Andrea4Alexis R. Wolfe5Ellen Farr6Melanie A. Stearns7Swati Deshmukh8Jinny O. Tavee9Fang Sun10Kevin N. Swong11Leslie Rydberg12R. James Cotton13Lisa F. Wolfe14James M. Walter15John M. Coleman16John A. Rogers17Shirley Ryan Ability LabMcGaw Medical Center, Northwestern University Feinberg School of MedicineDepartment of Physiatry, Hospital for Special SurgeryQuerrey Simpson Institute for Bioelectronics, Northwestern UniversityShirley Ryan Ability LabMcGaw Medical Center, Northwestern University Feinberg School of MedicineDepartment of Physical Medicine and Rehabilitation, Mayo Clinic College of Medicine and ScienceMarianjoy Rehabilitation Hospital, Northwestern MedicineDepartment of Radiology, Beth Israel Deaconess Medical CenterDivision of Neurology & Behavioral Health, National Jewish HealthThe Ken and Ruth Davee Department of Neurology, Northwestern University Feinberg School of MedicineDepartment of Neurological Surgery, Northwestern University Feinberg School of MedicineShirley Ryan Ability LabShirley Ryan Ability LabShirley Ryan Ability LabThe Division of Pulmonary and Critical Care, Department of Medicine, Northwestern University Feinberg School of MedicineThe Ken and Ruth Davee Department of Neurology, Northwestern University Feinberg School of MedicineQuerrey Simpson Institute for Bioelectronics, Northwestern UniversityAbstract We diagnosed 66 peripheral nerve injuries in 34 patients who survived severe coronavirus disease 2019 (COVID-19). We combine this new data with published case series re-analyzed here (117 nerve injuries; 58 patients) to provide a comprehensive accounting of lesion sites. The most common are ulnar (25.1%), common fibular (15.8%), sciatic (13.1%), median (9.8%), brachial plexus (8.7%) and radial (8.2%) nerves at sites known to be vulnerable to mechanical loading. Protection of peripheral nerves should be prioritized in the care of COVID-19 patients. To this end, we report proof of concept data of the feasibility for a wearable, wireless pressure sensor to provide real time monitoring in the intensive care unit setting.https://doi.org/10.1186/s12984-022-01089-1RehabilitationNeuromuscularCOVID-19Peripheral nerve injuryNeuropathyBrachial plexus
spellingShingle Colin K. Franz
Nikhil K. Murthy
George R. Malik
Jean W. Kwak
Dom D’Andrea
Alexis R. Wolfe
Ellen Farr
Melanie A. Stearns
Swati Deshmukh
Jinny O. Tavee
Fang Sun
Kevin N. Swong
Leslie Rydberg
R. James Cotton
Lisa F. Wolfe
James M. Walter
John M. Coleman
John A. Rogers
The distribution of acquired peripheral nerve injuries associated with severe COVID-19 implicate a mechanism of entrapment neuropathy: a multicenter case series and clinical feasibility study of a wearable, wireless pressure sensor
Journal of NeuroEngineering and Rehabilitation
Rehabilitation
Neuromuscular
COVID-19
Peripheral nerve injury
Neuropathy
Brachial plexus
title The distribution of acquired peripheral nerve injuries associated with severe COVID-19 implicate a mechanism of entrapment neuropathy: a multicenter case series and clinical feasibility study of a wearable, wireless pressure sensor
title_full The distribution of acquired peripheral nerve injuries associated with severe COVID-19 implicate a mechanism of entrapment neuropathy: a multicenter case series and clinical feasibility study of a wearable, wireless pressure sensor
title_fullStr The distribution of acquired peripheral nerve injuries associated with severe COVID-19 implicate a mechanism of entrapment neuropathy: a multicenter case series and clinical feasibility study of a wearable, wireless pressure sensor
title_full_unstemmed The distribution of acquired peripheral nerve injuries associated with severe COVID-19 implicate a mechanism of entrapment neuropathy: a multicenter case series and clinical feasibility study of a wearable, wireless pressure sensor
title_short The distribution of acquired peripheral nerve injuries associated with severe COVID-19 implicate a mechanism of entrapment neuropathy: a multicenter case series and clinical feasibility study of a wearable, wireless pressure sensor
title_sort distribution of acquired peripheral nerve injuries associated with severe covid 19 implicate a mechanism of entrapment neuropathy a multicenter case series and clinical feasibility study of a wearable wireless pressure sensor
topic Rehabilitation
Neuromuscular
COVID-19
Peripheral nerve injury
Neuropathy
Brachial plexus
url https://doi.org/10.1186/s12984-022-01089-1
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