Corona: Covid 19 Presentation As Motor Neuron Disease Corona: A Motor Neuron Disease
Corona: Covid 19 Presentation As Motor Neuron Disease Corona: A Motor Neuron Disease
Volume 9, Issue 7, July – 2024 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165 https://doi.org/10.38124/ijisrt/IJISRT24JUL1025
Corona: Covid 19 Presentation as Motor Neuron
Disease Corona: A Motor Neuron Disease
Dr. Anil Kumar Jain
Medical Graduate from Kanpur University in General Practice
House No -323 Sector- 13 Vasundhara, Ghaziabad
Pin-201012 (Uttar Pradesh)
Abstract:- Breathing difficulty, difficulty in Deglutition, Steroids given in early stage reduce the secretion and
generalized weakness, pain weakness on the side of lying reduce end plate weakness /swelling increase Perfusion and
down., gastroparesis, numbness Constipation, increase maintain 02 saturation. Lying head down help the secretion
sleep hyperglycaemia type 2 Diabetes hypothyroidism, coming out cleaning Airway. Oxygen Inhalation
Hypotension, Hypoxia, Irritability, Hair fall. Doxycycline Ivermectin zinc along with Vitamin C
Remdesivir antiviral was used for hospitalized patients
Keywords:- Dysphasia, Dysarthria, Myalgia, Airway Tocilizumab an Anti-cancer was used with controversial
Obstruction, Gastroparesis, Muscles End Plate weakness, desirable effect
hypotension, Endocrine dysfunctions, Diabetes and
Hypothyroidism, Airway Obstruction, Hypoxia, BIPAP, People were vaccinated with Covaxin BB152 prepared
Ventilator, Irritability. by Bharat bio tech Hyderabad in collaboration with NIV and
ICMR prepared by serum Institute of India and AstraZeneca
I. INTRODUCTION a recombinant Covishield vaccine after emergency approval
at 1 3 6 months in India Mass vaccination given along with
Patients usually present with high fever sore throat and Isolation and Work from home kept the Pandemic spread and
perfuse nasal Secretions Cough generalized weakness O2 Casualty Well under control, delayed the Pandemic spread
Saturation falling rapidly due to rapid respiratory tract and severity.
blocking leading to respiratory distress/silent deaths due to
weak respiratory muscles enabling to cough out Phlegm those Patients present with high pulse rate up to 170/Mt were
survive have prolong coughing period and RTPCR +ive nasal common Blood sugar shooting up to 670mg/dl TSH sudden
swab Due to highly virulent nature of the virus patients Kept rise up to 84. Thyroxin200mcg od relieved it in 4-5 days Pain
in isolation till the RTPCR become -ive. Patient were advised in arm relieve with Steroids and Paracetamol Gabapentin.
lying prone head down to avoid secretions blocking Numbness and tingling sensation relieved by anticoagulant
Respiratory Airway frequent Airway suction not applicable steroids vit B 12 and D3 High pulse rate relief by steroids and
Patients were put on 02 by Nasal probe continuously till Beta blockers.
improvement to 94%saturation then intermittently. Spo2
going below 88%BIPAP was used, due to high virulent nature II. CONCLUSION
and very bad Prognosis Suction not possible Patient were
Kept isolated Till reported RTPCR-ive. Corona Covid19 was a pandemic spreading Worldwide
Highly virulent Respiratory Distress due to profuse secretions
BIPAP applied for Oxygenation. (Chloroquine used for blocking the respiratory Airways, covering the alveolar
prevention and to the Patient Contacts. Contacts watching Surface hampering 02 Transportation with rapid falling Spo2.
through Arogya Satu Kept under observation for 14 days The weak respiratory muscles enabling to cough out Phlegm
Without symptoms) further pushing secretions in lungs Suction Machine couldn't apply due to lethal nature and
diffusing over the surface of alveoli causing a barrier for 02 virulence increase no hypothyroidism, hypoglycaemic cases,
Perfusion dropping saturation further a Chest Muscles neuromuscular weakness. Tinnitus on lying down side
weakness made the patient helpless for coughing, even gastroparesis, numbness, regurgitation aspirations of meal
making Phlegm to suck in, deteriorating the Conditions, constipation difficulty in deglutition of food secretions are
acting as barrier for Oxygen transportation in alveoli causing common neurological problems we are facing during and post
saturation to fall further with every breath. Covid19 Complications.
IJISRT24JUL1025 www.ijisrt.com 3216
Volume 9, Issue 7, July – 2024 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165 https://doi.org/10.38124/ijisrt/IJISRT24JUL1025
REFERENCES
[1]. Brown RH Jr Amyo tropic lateral Sclerosis and other
Motor Neuron Disease chapter 374pp 3345 in HPIM-18
edition.
[2]. Low PA Emgstrom JW: Disorder of the Nervous system
chap375 pp3351 in HPIM-18
[3]. Hirano I, KahirilasPJ: Dysphagia chap 38 pp297
[4]. KahirilasPJ, Hirano I Disease of oesophagus.
[5]. Constipation: Camilleri M Murray JA: Diarrhoea and
constipation chap40pp308.
[6]. Czeisler CA Winkle man JW
[7]. Richardson GS Sleep disorder chap27 pp213 in HPIM-
18…
[8]. Robin MA etal Pharyngitis, sinusitis and otitis and other
upper respiratory tract infection chap 31. pp235 HPIM-
18
[9]. Observations based on complaints, symptoms, sign and
complications of the patients suffering from Corona.
