COVID-19 and Nervous System: Under Estimated Clinical and Prognostic Aspects

Goés Alyne Barreto Mesquita de, Cardoso Bruno Barreira, Tavares Francisco de Assis Fernandes, Monte Rebecca Renata Lapenda do, Melo Renata Carneiro, Araújo-Neto Irami, Pinheiro Renato Serquiz Elias, Rêgo Amália Cinthia Meneses, Araújo-Filho* Irami
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引用次数: 6

Abstract

The coronavirus pandemic transformed the world abruptly due to the speed of transmission and high morbidity and mortality. Many deaths have been quantified, and the scientific community intensifies the search for molecular targets, protein sequences and polymorphismson SARS-CoV-2, to improve the clinical evolution and survival of patients. Initially, COVID-19 was described with respiratory changes, flu, and fever. With the spread of the disease, clinical manifestations were observed in other organ systems, still unknown. In this sense, the present study describes the main neurological changes and laboratory findings. The literature review was identified in the central databases: Scielo, Google Scholar, PubMed/MedLine, Embase, and Cochrane Database. Twenty-five articles related to the theme were chosen, including reviews, case series, cohort, and retrospective studies. Neurological manifestations were predominantly anosmia/hyposmia, dysgeusia, ataxia, and seizures. According to the latest published studies, attention must be paid to isolated initial neurological events.
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COVID-19和神经系统:低估临床和预后方面
由于传播速度快、发病率和死亡率高,冠状病毒大流行突然改变了世界。许多死亡已经被量化,科学界加强了对SARS-CoV-2的分子靶点、蛋白质序列和多态性的研究,以改善患者的临床进化和生存。最初,COVID-19被描述为呼吸系统变化、流感和发烧。随着疾病的扩散,在其他器官系统是否有临床表现尚不清楚。在这个意义上,本研究描述了主要的神经学变化和实验室结果。文献综述在中央数据库:Scielo, Google Scholar, PubMed/MedLine, Embase和Cochrane数据库中确定。选择了25篇与该主题相关的文章,包括综述、病例系列、队列和回顾性研究。神经学表现主要为嗅觉缺失、语言障碍、共济失调和癫痫发作。根据最新发表的研究,必须注意孤立的初始神经事件。
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