SARS-CoV-2 Infection Leads to Neurological Dysfunction

被引:68
作者
Acharya, Arpan [1 ]
Kevadiya, Bhavesh D. [1 ,2 ]
Gendelman, Howard E. [1 ]
Byrareddy, Siddappa N. [1 ]
机构
[1] Univ Nebraska Med Ctr, Dept Pharmacol & Expt Neurosci, Omaha, NE 68198 USA
[2] Stanford Univ, Dept Radiol, Intervent Regenerat Med & Imaging Lab, Palo Alto, CA 94304 USA
关键词
COVID-19; SARS-CoV-2; CNS; Neurologic manifestations; Animal models; Guillain-Barre syndrome; Therapeutics; CORONAVIRUS SPIKE PROTEIN; CENTRAL-NERVOUS-SYSTEM; ZIKA; IDENTIFICATION; REPLICATION; ABSENCE;
D O I
10.1007/s11481-020-09924-9
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
A number of neurological disease complications have been seen following infection with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). While most person with COVID-19 respiratory disease demonstrate headache, nausea and vomiting, up to 40% present also experience dizziness, confusion, cerebrovascular disease, muscle pain, ataxia and seizures. Loss of taste and smell, defects in visual acuity and pain occur in parallel. Such central nervous system (CNS) signs and symptoms linked to laboratory-confirmed SARS-CoV-2 infection is often life threatening. Health care providers currently evaluating patients with neurologic symptoms need consider COVID-19 in any differential diagnosis. These considerations will facilitate prompt testing, isolation and prevention of viral transmission speeding best clinical outcomes.
引用
收藏
页码:167 / 173
页数:7
相关论文
共 60 条
[41]   PRIMARY STRUCTURE OF THE GLYCOPROTEIN-E2 OF CORONAVIRUS MHV-A59 AND IDENTIFICATION OF THE TRYPSIN CLEAVAGE SITE [J].
LUYTJES, W ;
STURMAN, LS ;
BREDENBEEK, PJ ;
CHARITE, J ;
VANDERZEIJST, BAM ;
HORZINEK, MC ;
SPAAN, WJM .
VIROLOGY, 1987, 161 (02) :479-487
[42]  
Major CG, 2018, P R HEALTH SCI J, V37, pS85
[43]   Neurologic Manifestations of Hospitalized Patients With Coronavirus Disease 2019 in Wuhan, China [J].
Mao, Ling ;
Jin, Huijuan ;
Wang, Mengdie ;
Hu, Yu ;
Chen, Shengcai ;
He, Quanwei ;
Chang, Jiang ;
Hong, Candong ;
Zhou, Yifan ;
Wang, David ;
Miao, Xiaoping ;
Li, Yanan ;
Hu, Bo .
JAMA NEUROLOGY, 2020, 77 (06) :683-690
[44]   Lethal infection of K18-hACE2 mice infected with severe acute respiratory syndrome coronavirus [J].
McCray, Paul B., Jr. ;
Pewe, Lecia ;
Wohlford-Lenane, Christine ;
Hickey, Melissa ;
Manzel, Lori ;
Shi, Lei ;
Netland, Jason ;
Jia, Hong Peng ;
Halabi, Carmen ;
Sigmund, Curt D. ;
Meyerholz, David K. ;
Kirby, Patricia ;
Look, Dwight C. ;
Perlman, Stanley .
JOURNAL OF VIROLOGY, 2007, 81 (02) :813-821
[45]  
McGavern DB, 2011, Nat Rev Immunol, V329
[46]  
Netland J, 2008, ACE2 J Virol, V82, P7275
[47]   Time course and cellular localization of SARS-CoV nucleoprotein and RNA in lungs from fatal cases of SARS [J].
Nicholls, JM ;
Butany, J ;
Poon, LLM ;
Chan, KH ;
Beh, SL ;
Poutanen, S ;
Peiris, JSM ;
Wong, M .
PLOS MEDICINE, 2006, 3 (02) :222-229
[48]  
Pan T, 2020, SCAND J GASTROENTERO, V55, P123, DOI [10.1080/00365521.2019.1707275, 10.14309/ajg.0000000000000620]
[49]   Guillain-Barre syndrome, transverse myelitis and infectious diseases [J].
Rodriguez, Yhojan ;
Rojas, Manuel ;
Pacheco, Yovana ;
Acosta-Ampudia, Yeny ;
Ramirez-Santana, Carolina ;
Monsalve, Diana M. ;
Gershwin, M. Eric ;
Anaya, Juan-Manuel .
CELLULAR & MOLECULAR IMMUNOLOGY, 2018, 15 (06) :547-562
[50]   The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak [J].
Rothan, Hussin A. ;
Byrareddy, Siddappa N. .
JOURNAL OF AUTOIMMUNITY, 2020, 109