Bilateral Wrist Drop Caused by Non-invasive Continuous Monitoring of Blood Pressure During Severe COVID-19 Pneumonia: A Case Report

Compressive peripheral nerve injury can be observed as a long-term outcome during the treatment of severe COVID-19 pneumonia. In this case study, we report a man with bilateral wrist drop due to prolonged noninvasive blood pressure monitoring. A 52-year-old man who had undergone invasive ventilation...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 14; no. 2; p. e22212
Main Authors Arica Polat, Busra S, Isik, Kubra, Mengi, Tugce, Tan, Ersin, Odabasi, Zeki
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 14.02.2022
Cureus
Subjects
Automation
Blood pressure
Case reports
Coronaviruses
COVID-19
Hospitalization
Infectious Disease
Muscle strength
Neurological disorders
Neurology
Other
Patient positioning
Pneumonia
Rehabilitation
Ankara Turkey
Turkey
wrist drop
covid-19 pneumonia
icu
radial nerve injury
compressive neuropathy
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Summary:Compressive peripheral nerve injury can be observed as a long-term outcome during the treatment of severe COVID-19 pneumonia. In this case study, we report a man with bilateral wrist drop due to prolonged noninvasive blood pressure monitoring. A 52-year-old man who had undergone invasive ventilation because of severe COVID-19 pneumonia was admitted with bilateral loss of function of the wrist, digital, and thumb extensors and hypoesthesia in the dorsum of the forearm and hand. The patient had not been treated with prone positioning respiratory therapy. However, he had undergone bilateral automated sphygmomanometry that measured his blood pressure every ten minutes during his ICU stay. His electrophysiological findings were compatible with the presence of bilateral radial nerve compression at the level of the spiral groove. Awareness of potential compressive peripheral nerve injury is important for rehabilitation after the treatment of COVID-19-associated pneumonia.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.22212