Neurological complications of coronavirus infection; a comparative review and lessons learned during the COVID-19 pandemic

被引:137
作者
Sharifian-Dorche, Maryam [1 ,2 ]
Huot, Philippe [1 ]
Osherov, Michael [1 ]
Wen, Dingke [1 ,3 ]
Saveriano, Alexander [1 ]
Giacomini, Paul S. [1 ]
Antel, Jack P. [1 ]
Mowla, Ashkan [4 ]
机构
[1] McGill Univ, Montreal Neurol Inst, Dept Neurol & Neurosurg, Montreal, PQ, Canada
[2] Shiraz Univ Med Sci, Clin Neurol Res Ctr, Shiraz, Iran
[3] Sichuan Univ, West China Hosp, Dept Neurosurg, Chengdu, Sichuan, Peoples R China
[4] Univ Southern Calif USC, Keck Sch Med, Dept Neurol Surg, Los Angeles, CA USA
关键词
COVID-19; SARS-CoV-1; MERS-CoV; Neurological manifestations; Coronavirus; ACUTE RESPIRATORY SYNDROME; CENTRAL-NERVOUS-SYSTEM; GUILLAIN-BARRE-SYNDROME; CLINICAL CHARACTERISTICS; STATUS EPILEPTICUS; INTRACEREBRAL HEMORRHAGE; PRESENTING FEATURE; SYNDROME SARS; DISEASE; 2019; ANOSMIA;
D O I
10.1016/j.jns.2020.117085
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Introduction: Coronavirus disease-19 (COVID-19) pandemic continues to grow all over the world. Several studies have been performed, focusing on understanding the acute respiratory syndrome and treatment strategies. However, there is growing evidence indicating neurological manifestations occur in patients with COVID-19. Similarly, the other coronaviruses (CoV) epidemics; severe acute respiratory syndrome (SARS-CoV-1) and Middle East respiratory syndrome (MERS-CoV) have been associated with neurological complications. Methods: This systematic review serves to summarize available information regarding the potential effects of different types of CoV on the nervous system and describes the range of clinical neurological complications that have been reported thus far in COVID-19. Results: Two hundred and twenty-five studies on CoV infections associated neurological manifestations in human were reviewed. Of those, 208 articles were pertinent to COVID-19. The most common neurological complaints in COVID-19 were anosmia, ageusia, and headache, but more serious complications, such as stroke, impairment of consciousness, seizures, and encephalopathy, have also been reported. Conclusion: There are several similarities between neurological complications after SARS-CoV-1, MERS-CoV and COVID-19, however, the scope of the epidemics and number of patients are very different. Reports on the neurological complications after and during COVID-19 are growing on a daily basis. Accordingly, comprehensive knowledge of these complications will help health care providers to be attentive to these complications and diagnose and treat them timely.
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页数:18
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