PMC:7414629 / 2963-9333 JSONTXT 13 Projects

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Id Subject Object Predicate Lexical cue
T27 0-11 Sentence denotes Case report
T28 12-210 Sentence denotes A 56-year-old Caucasian woman with a medical history of mild arterial hypertension (valsartan 40 mg) and hypothyreosis (l-thyroxin 25 µg) suffers from a dry cough, mild fever and a general weakness.
T29 211-327 Sentence denotes In the context of the COVID-19 pandemic, SARS-CoV-2 RT-PCR on nasopharyngeal swab was performed and tested positive.
T30 328-361 Sentence denotes A quarantine at home was decreed.
T31 362-457 Sentence denotes The presumed contact to an infected person has been 12 days before the first symptoms appeared.
T32 458-584 Sentence denotes Seven days later, she noticed weakness of her limbs while climbing stairs and a tingling sensation in all fingertips and toes.
T33 585-689 Sentence denotes She was admitted to our emergency department 3 days after the occurrence of these neurological symptoms.
T34 690-874 Sentence denotes On physical examination, the patient was afebrile with blood pressure at 135/82 mmHg, heart rate of 110 beats/min, respiratory rate at 18/min, and oxygen saturation of 95% on room air.
T35 875-943 Sentence denotes She was conscious and had no dyspnea at the time of hospitalization.
T36 944-1055 Sentence denotes The neurological examination showed no meningeal irritation signs or abnormalities in the cranial nerve status.
T37 1056-1286 Sentence denotes The muscle strength examination showed paresis in four limbs with a Medical Research Council (MRC) scale of 4/5 in the proximal, 3/5 in the distal upper extremities, 4/5 in the proximal, and 3/5 in distal in the lower extremities.
T38 1287-1385 Sentence denotes Deep tendon reflexes were generally absent and there were no signs of upper motor neuron disorder.
T39 1386-1534 Sentence denotes There was a reduction in the vibration of the knees from 2/8 in the 128 Hz tuning fork test, and fine touch sensation was bilateral stocking shaped.
T40 1535-1568 Sentence denotes There was no spine sensory level.
T41 1569-1648 Sentence denotes Meningeal irritation signs and upper motor neuron disorder signs were negative.
T42 1649-2036 Sentence denotes The laboratory results were as follows: white blood cell count 11,400 cells per microliter (neutrophils = 82.7%; lymphocytes = 10.4%), fibrinogen 4.93 g/l, C-reactive protein < 2 mg/l, hemoglobin 7.8 g/dL, serum glucose 5.79 mmol/l, and further normal results for blood urea nitrogen, creatinine, ALAT, ASAT, LDH, GGT, sodium, potassium, INR, PTT, IgG, IgA, IgM, and complete urinalysis.
T43 2037-2101 Sentence denotes Anti-ganglioside antibodies (GM1-, GQ1b-antibodies) were absent.
T44 2102-2295 Sentence denotes The analysis of cerebrospinal fluid (CSF) showed a cell count of 9 Mpt/l (lymphocytes and monocytes), protein of 0.575 g/l, glucose 3.74 mmol/l and lactate 2.2 mmol/l, and no oligoclonal bands.
T45 2296-2359 Sentence denotes The SARS-CoV-2 RT-PCR in CSF was performed and tested negative.
T46 2360-2518 Sentence denotes Biological tests were not in favor of a recent infection with Borrelia, Treponema pallidum, Campylobacter jejuni, mycoplasma, EBV, HSV1 or 2, and hepatitis E.
T47 2519-2587 Sentence denotes A CT scan of the brain and MRI of the spine showed no abnormalities.
T48 2588-2824 Sentence denotes Lung CT at admission showed leaky infiltrates in the right lower lobe, at the tip and dorsally; infiltrates most likely began in the dorsal left in the lower lobe, increased, with maximum 22 mm paratracheal and infracarinal lymph nodes.
T49 2825-2944 Sentence denotes The patient was admitted to ICU and further treatment was carried out in strict compliance with the isolation measures.
T50 2945-3074 Sentence denotes Our patient received PPh every 2 days, and there was a clinical deterioration in spite of this treatment during the first 5 days.
T51 3075-3401 Sentence denotes The patient developed a flaccid, severe tetraparesis of 3/5 in the proximal, 1/5 in the distal of the upper extremities and 3/5 in the proximal and 0/5 in the distal of the lower extremities for dorsal extension, 2/5 for flexion, a trunk instability, and also bilateral peripheral facial nerve palsy (House–Brackmann grade 5).
T52 3402-3566 Sentence denotes There were autonomous symptoms with a tachycardic heart action until 120/min and a severe orthostatic dysregulation, with no further possibility of sitting upright.
T53 3567-3644 Sentence denotes She showed a tendency for clinical improvement after the third course of PPh.
T54 3645-3681 Sentence denotes Seven courses of PPh were performed.
T55 3682-3876 Sentence denotes The PPh caused a slightly further clinical improvement with asymmetrical improvement of facial paresis and tetraparesis, but a clinical stagnation of the improvement during the following 5 days.
T56 3877-3977 Sentence denotes The patient was still unable to sit upright because of orthostatic collapsing and trunk instability.
T57 3978-4092 Sentence denotes Therefore, we added 5 days after the last PPh 0.40 g/kg/day intravenous immune globulins for a duration of 5 days.
T58 4093-4211 Sentence denotes We performed the neurophysiological study and nerve sonography only on day 10 according to the isolation requirements.
T59 4212-4368 Sentence denotes Nerve sonography, as a painless technique for bedside-imaging nerve pathology, demonstrated a hypoechoic ultrasonographic cervical spinal nerve enlargement.
T60 4369-4454 Sentence denotes The cross-sectional area of the C6 root was measured as 21 mm2 and C7 root as 22 mm2.
T61 4455-4592 Sentence denotes Enlarged cervical spinal and peripheral nerves detected by ultrasound were identified as an early marker for Guillain–Barré syndrome [7].
T62 4593-4803 Sentence denotes Electroneurographic parameters demonstrate the typical delay of distal motor latency, and F-wave latency and decrease of conduction velocity, as well as decreased amplitudes at compound muscle action potential.
T63 4804-4911 Sentence denotes There was mild decrease of conduction velocity of sensory nerve action potential changes at the arm nerves.
T64 4912-5022 Sentence denotes The findings are basically consistent with acute motor accented and axonal demyelinating neuropathy (Table 1).
T65 5023-5071 Sentence denotes Table 1 Nerve conduction study parameters day 10
T66 5072-5207 Sentence denotes Nerve stimulated Stimulation SITE Amplitude (m in mV; s in µV) Latency (ms) Conduction velocity (m/s) F-Wave (ms)/F-wavepersistence (%)
T67 5208-5287 Sentence denotes Right Left Norm Right Left Norm Right Left Norm right left Norm (height 175 cm)
T68 5288-5345 Sentence denotes Medianus (s) Wrist 8.9 17.2  ≥ 6 3.7 4.25 3.2 35 33  ≥ 44
T69 5346-5399 Sentence denotes Ulnaris (s) Wrist 10 31  ≥ 5 2.7 3.15 2.8 40 35  ≥ 44
T70 5400-5445 Sentence denotes Suralis (s) Calf 9 9  ≥ 5 2 2.1 2 49 50  ≥ 40
T71 5446-5521 Sentence denotes Medianus (m) Wrist 5 5.6  ≥ 3.5 6.6 6.2  ≤ 4.2 39.7/80 33.6/30  ≤ 31/50–100
T72 5522-5576 Sentence denotes Antecubital fossa 4.2 5.6  ≥ 3.5 12.1 10.9 44 45  ≥ 50
T73 5577-5641 Sentence denotes Ulnaris (m) Wrist 0.7 1.8  ≥ 2.8 4.6 4  ≤ 3.4 35 33  ≤ 31/50–100
T74 5642-5690 Sentence denotes Below elbow 1.2 0.7  ≥ 2.8 11 11.2 39 35.9  ≥ 48
T75 5691-5759 Sentence denotes Tibialis (m) Ankle 1.5 0.9  ≥ 2.9 4.9 7.9  ≤ 6 nr 73/20  ≤ 58/50–100
T76 5760-5812 Sentence denotes Popliteal fossa 0.5 0.3  ≥ 2.9 16.4 19.8 33 33  ≥ 41
T77 5813-5884 Sentence denotes Peroneus (m) Ankle 2.2 2.1  ≥ 2.5 3.5 5.1  ≤ 5 70/30 66/20  ≤ 57/50–100
T78 5885-5928 Sentence denotes Fibula 0.57 0.69  ≥ 2.5 14.1 15 30 33  ≥ 40
T79 5929-5943 Sentence denotes nr no response
T80 5944-6003 Sentence denotes There was no fever or respiratory complaints over the time.
T81 6004-6135 Sentence denotes Further treatment was given in the intermediate care unit, but there was only a slight clinical improvement over the next few days.
T82 6136-6370 Sentence denotes The clinical course up to the time of transfer to a rehabilitation facility and the eletroneurographic findings with evidence of an axonal motor damage can indicate a complicated course with a prolonged and possible defective healing.