Cefalea persistente luego de infección por Covid-19; ¿Un dolor de cabeza?

2021 
espanolLa infeccion por COVID-19 produce multiples manifestaciones clinicas, dentro de las cuales se ha observado con frecuencia la cefalea. Se reporta el caso de una paciente de 30 anos con infeccion por COVID-19 hace 2 meses quien consulta a especialista de dolor por cefalea de intensidad moderada, pulsatil, con sensacion de hiperalgesia, ardor y calor, corrientazos, en region parietal y occipital bilaterales, persistente que no mejora con analgesicos habituales. Tras descartarse lesiones ocupantes de espacio, alteraciones neurovasculares y reumatologicas; con antecedente de importancia infeccion viral se considero cefalea atipica cronica craneo–facial, como secuela del COVID-19. Se invita a la comunidad cientifica a continuar la investigacion etiologica en esta area tras la creciente aparicion de sindrome post COVID con manifestaciones extrapulmonares, como lo son las complicaciones neurologicas. EnglishCOVID-19 infection produces multiple clinical manifestations, among which headache has been frequently observed. We report the case of a 30-year-old patient with COVID-19 infection 2 months ago who consults at pain specialist for headache of moderate intensity, throbbing, with a sensation of hyperalgesia, burning and heat, a sensation of currents, in the parietal and occipital region bilateral, persistent, that does not improve with usual analgesics. After ruling out space-occupying lesions, neurovascular and rheumatological alterations; with a single significant history of viral infection, chronic craniofacial atypical headache was considered as a sequel to COVID-19. We invite the scientific community to continue etiological research in this area after the increasing appearance of post-COVID syndrome with extrapulmonary manifestations, such as neurological complications.
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