Prevalence of Neurological Manifestations and Complications of COVID-19 in Menoufia Governorate

Rasha A. El-Kapan, M. Melake, Asmaa M. Sharshar, Ahmed Mounir
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Abstract

Objectives : To de fi ne any neurological manifestations and problems of de fi nite coronavirus disease 2019 (COVID-19) infection patients, and its relation with onset and evolution of the infection. Background : Spread of COVID-19 infections has been rapid in both low-income and high-income countries. Outbreak of respiratory disease took place in China in December 2019, and it later spread to other countries. Acute neurological insults are more likely in studied cases who are badly infected. Patients and methods : This study is cross-sectional research. Data were obtained from the archived fi les of the selected COVID-19 patients, in addition to patients who were admitted at isolated ICU and inpatient rooms of Menou fi a University Hospitals, Shebin El-Kom Teaching Hospital, El-Bajur General Hospital, Menou fi a General Hospital, and Sirs-Ellian General Hospital. The duration of the recruiting period was from February to August 2021. Results : In the multivariate logistic regression, the signi fi cant predictors of the neurological manifestations are female sex, obesity, diabetes mellitus, and any comorbidity. Conclusion : A wide range of neurological manifestations, such as central nervous system and peripheral nervous system manifestations, can happen in COVID-19 studied cases, regardless of disease severity, with higher incidence in severe category of studied cases. In evaluation of studied cases with COVID-19 and neurological symptoms, detailed history and neurological examination, as well as proper assessment by expert neurologists, are required.
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梅努菲亚省COVID-19神经系统症状和并发症的患病率
目的:明确新型冠状病毒病2019 (COVID-19)感染患者的神经学表现和问题,及其与感染发生和发展的关系。背景:COVID-19感染在低收入和高收入国家都在迅速传播。2019年12月,中国爆发了呼吸道疾病,后来蔓延到其他国家。在被研究的严重感染病例中,更有可能发生急性神经损伤。患者和方法:本研究为横断面研究。数据来自选定的COVID-19患者的存档文件,以及在Menou fi大学医院、Shebin El-Kom教学医院、El-Bajur综合医院、Menou fi综合医院和Sirs-Ellian综合医院的隔离ICU和住院室住院的患者。招募期为2021年2月至8月。结果:在多因素logistic回归中,女性、肥胖、糖尿病和任何合并症是影响神经系统症状的显著因素。结论:COVID-19研究病例可出现广泛的神经系统表现,如中枢神经系统和周围神经系统表现,与疾病严重程度无关,其中严重类别的研究病例发病率较高。在评估新冠肺炎合并神经系统症状的研究病例时,需要详细的病史和神经系统检查,并由神经科专家进行适当评估。
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