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    Acute Onset Chronic Inflammatory Demyelinating Polyneuropathy Following COVID-19
    (2022) Karşıdağ, Sibel; Şahin, Şevki; Çınar, Nilgün; Ateş, Miruna Florentina; Kendirli, Sude
    The cases of Guillain Barre Syndrome (GBS) have been reported following the coronavirus disease 2019 (COVID-19). Here, we describe a case that evolved from GBS to chronic inflammatory demyelinating polyneuropathy (CIDP) after COVID-19 in terms of contributing to the literature due to its different aspects. In the cerebrospinal fluid examination of the acute onset mixed type polyneuropathy case, albuminocytological dissociation was not detected. The patient was given a loading dose and monthly maintenance intravenous immunoglobulin (IVIG) for six months. Blood ferritin levels gradually decreased in parallel with clinical improvement. Four months after the IVIG treatment was terminated, the findings recurred and the CIDP was developed and IVIG treatment was continued. Long-term follow-up of post-COVID-19 GBS patients is important in terms of recurrence and chronicity. Ferritin level may be a biochemical marker in the clinical follow-up of these cases.
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    Management of Neurorehabilitation During the COVID-19 Pandemic
    (2020) Şahin, Şevki
    Neurorehabilitation originates from the concept of neuroplasticity and it has an important role-both physical and cognitive- in the restoration of a damaged nervous system. Interruption inneurorehabilitation negatively affects a patient’s prognosis. Unfortunately, after the WorldHealth Organization declared coronavirus disease 2019 (COVID-19) a pandemic, there weresome disruptions in neurorehabilitation practices. Therefore, according to the principles ofinfection prevention and protection, the issue of developing new neurorehabilitationmanagement strategies was raised. Providing appropriate physical distancing in sharedrehabilitation areas and strict training of the rehabilitation team with regard to hygiene rulesare important issues in terms of preventing contamination. In new treatment schemes, optionssuch as discharging patients from hospital at the earliest possible time, home-based treatmentsand telerehabilitation have become standard. Online patient-physician consultation can providethe continuity of neurorehabilitation and reduce anxiety and the feeling of social isolation feltby many patients and their families. In addition, the pandemic period can be turned into anopportunity for caregivers to learn physical and cognitive exercises and apply them to theirpatients. The current article focuses on the new neurorehabilitation approaches in theneurological diseases sample which includes stroke, multiple sclerosis, dementia, Parkinson’sdisease and neuromuscular diseases within the context of the COVID-19 pandemic.