Isolated bulbar palsy after SARS-CoV-2 infection

[...]only few studies have reported cranial nerve involvement in COVID-19—namely, ophthalmoplegia and facial nerve palsy in Miller Fisher syndrome,2 isolated ophthalmoplegia,2,3 acute vestibular dysfunction,4 and unilateral Tapia's syndrome.5 Between March and April 2020, we assessed four individuals who presented with fever, hyposmia, hypogeusia, and cough (three at IRCCS Mondino Foundation in Pavia, Italy, and one at ASST Bergamo Ovest in Romano di Lombardia, Italy). Alternatively, a severe compression neuropathy of the lower cranial nerves might derive from abnormal head posture during a prone position manoeuvre, malposition or displacement of the tube, and overinflation of the cuff after airway manipulation during orotracheal intubation or tracheostomy. [...]central and peripheral neurological involvement might coexist, as the damage of a neuronal soma can increase susceptibility to peripheral injury of the downstream axon.