{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T03:13:51Z","timestamp":1774408431298,"version":"3.50.1"},"reference-count":56,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2022,12,30]],"date-time":"2022-12-30T00:00:00Z","timestamp":1672358400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Russian Scientific Foundation of the Russian Academy of Sciences","award":["No. 22-15-00113"],"award-info":[{"award-number":["No. 22-15-00113"]}]},{"name":"Russian Scientific Foundation of the Russian Academy of Sciences","award":["No. 075-0152-22-00"],"award-info":[{"award-number":["No. 075-0152-22-00"]}]},{"name":"State budget of Russian Federation","award":["No. 22-15-00113"],"award-info":[{"award-number":["No. 22-15-00113"]}]},{"name":"State budget of Russian Federation","award":["No. 075-0152-22-00"],"award-info":[{"award-number":["No. 075-0152-22-00"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>SARS-CoV-2 infection may cause such complications as post-COVID-19 syndrome, which includes chronic fatigue, myalgia, arthralgia, as well as a variety of neurological manifestations, e.g., neuropathy of small fibers, hearing and vestibular dysfunction, and cognitive impairment. This clinical case describes a 41-year-old patient suffering from post-COVID-19 syndrome and chronic fatigue syndrome. A detailed examination was performed, including an in-depth study of peripheral and central hearing and vestibular functions, as well as small nerve fibers length and density in the skin and cornea of the eye. Contrary to expectations, no peripheral nervous system dysfunction was detected, despite the presence of dizziness and gait instability in the patient. Hearing tests (gap detection test and dichotic test) showed central auditory processing disorders. The evaluated lesion in the processing of temporal and verbal auditory information can be a significant factor contributing to additional overload of the neural activity and leading to chronic fatigue when performing daily activities in patients with CFS and post-COVID-19 complications.<\/jats:p>","DOI":"10.3390\/diagnostics13010122","type":"journal-article","created":{"date-parts":[[2022,12,30]],"date-time":"2022-12-30T03:14:28Z","timestamp":1672370068000},"page":"122","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Assessment of Hearing and Vestibular Functions in a Post-COVID-19 Patient: A Clinical Case Study"],"prefix":"10.3390","volume":"13","author":[{"given":"Irina Germanovna","family":"Andreeva","sequence":"first","affiliation":[{"name":"Sechenov Institute of Evolutionary Physiology and Biochemistry of the Russian Academy of Sciences (IEPhB RAS), Laboratory of Comparative Sensory Physiology, 194223 St. 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Russia"},{"name":"Laboratory of the Mosaic of Autoimmunity, Saint-Petersburg State University, 199034 St. Petersburg, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Lukashenko","sequence":"additional","affiliation":[{"name":"Laboratory of the Mosaic of Autoimmunity, Saint-Petersburg State University, 199034 St. Petersburg, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1038-1735","authenticated-orcid":false,"given":"Evelina","family":"Kamaeva","sequence":"additional","affiliation":[{"name":"Laboratory of the Mosaic of Autoimmunity, Saint-Petersburg State University, 199034 St. Petersburg, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valeria","family":"Shapkina","sequence":"additional","affiliation":[{"name":"Department of Hospital Surgery, Saint-Petersburg State University, 199034 St. Petersburg, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8396-0418","authenticated-orcid":false,"given":"Lidia","family":"Soprun","sequence":"additional","affiliation":[{"name":"Department of Healthcare and Medical law, Saint-Petersburg State University, 199034 St. Petersburg, Russia"},{"name":"Outpatient Clinic No. 1, Saint-Petersburg State University Clinic, 190103 St. Petersburg, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalia","family":"Gavrilova","sequence":"additional","affiliation":[{"name":"Outpatient Clinic No. 1, Saint-Petersburg State University Clinic, 190103 St. Petersburg, Russia"},{"name":"Department of Faculty Therapy, Saint-Petersburg State University, 199034 St. Petersburg, Russia"},{"name":"St. Petersburg Research Institute of Phthisiopulmonology of the Ministry of Health of the Russian Federation, 191036 St. Petersburg, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamara Viktorovna","family":"Fedotkina","sequence":"additional","affiliation":[{"name":"Sechenov Institute of Evolutionary Physiology and Biochemistry of the Russian Academy of Sciences (IEPhB RAS), Laboratory of Comparative Sensory Physiology, 194223 St. Petersburg, Russia"},{"name":"Laboratory of the Mosaic of Autoimmunity, Saint-Petersburg State University, 199034 St. Petersburg, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6359-0026","authenticated-orcid":false,"given":"Leonid Pavlovich","family":"Churilov","sequence":"additional","affiliation":[{"name":"St. Petersburg Research Institute of Phthisiopulmonology of the Ministry of Health of the Russian Federation, 191036 St. Petersburg, Russia"},{"name":"Department of Pathology, Saint-Petersburg State University, 199034 St. Petersburg, 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