Covid-19感染患者的头痛特征:一项系统综述

IF 0.2 Q4 PHARMACOLOGY & PHARMACY Asian Journal of Pharmaceutical Research and Health Care Pub Date : 2023-08-15 DOI:10.55561/ajhr.v2i2.113
Vina Lidya Setjaputra, Steven Christian Susianto, A. Machin
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引用次数: 0

摘要

导语:COVID-19病毒的嗜神经性已在多项研究中得到解决,头痛是COVID-19最常见的神经系统表现之一,具有不同的特征和表型结果。在本系统综述中,我们旨在描述COVID-19感染患者中最常见的头痛表型。方法:通过Pubmed、SciElo和Cochrane数据库进行系统文献检索,检索关键词为(头痛[Title])和(covid-19[Title])、(神经学)和(头痛)和(特征性)和(covid-19)、(表型)和(头痛)和(covid-19)。我们提取了研究设计、受试者的人口统计学特征和头痛的特征(发病、部位、偏侧、质量、强度和与头痛相关的其他症状)。结果:我们纳入了1381名符合条件的9项研究中出现头痛症状的COVID-19感染受试者。我们的大多数患者在首次出现COVID-19症状后1至10天出现头痛,并伴有COVID-19症状(94.2%)。最常见的头痛部位是额部(42.3%),其次是弥漫性/全颅(40.1%)、眶周/眶后(24.2%)和颞部(23.8%),无侧方/双侧发生(85.9%),疼痛特征主要是压迫和收紧(55.9%)、悸动(25.3%)和刺痛(9.8%)。多数病例采用VAS评分测量的头痛强度为轻度至中度,持续时间以1 ~ 24 h为主。57%的头痛患者伴有发热症状。还记录了其他头痛症状,主要是嗅觉丧失/听觉障碍,其次是畏光/恐音和恶心/呕吐。结论:新型冠状病毒感染患者以双侧、长时间、紧张性头痛伴发热多见,并伴有嗅觉缺失/听觉障碍。这些特征可以帮助医生确定与COVID-19相关的头痛。
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Headache Characteristic in Covid-19 Infected Patient: A Systematic Review
Introduction: The neurotropism of COVID-19 virus has been addressed in several studies, and headache is one of the most frequent neurologic manifestations of COVID-19, with various results of characteristics and phenotype. In this systematic review, we aimed to characterize the most common phenotype of headache in COVID-19 infected patients. Methods: A systematic literature was conducted through Pubmed, SciElo and Cochrane databases with keywords (headache[Title]) AND (covid-19[Title]), ((neurological) AND (headache) AND (characteristic)) AND (covid-19), ((phenotype) AND (headache)) AND (covid-19). We extracted the study design, demographics of subjects, and characteristics of headache (onset, site, lateralization, quality, intensity, and additional symptoms related to headache). Results: We included 1381 subjects with COVID-19 infection who experienced headache symptoms from eligible 9 studies. The majority of our patients had headaches that occurred with COVID-19 symptoms onset (94.2%), ranging from 1 to 10 days after the first COVID-19 symptoms. The most common headache site was frontal (42.3%), followed by diffuse/ holocranial (40.1%), periorbital/retroorbital (24.2%), and temporal (23.8%), with no lateralization/occurring bilaterally (85.9%), and pain characteristic predominantly pressing and tightening (55.9%), throbbing (25.3%), and stabbing (9.8%). Headache intensity measured by VAS score ranged mild to moderate in most cases with duration mostly 1-24 h. 57% of headache patients were also accompanied by fever symptoms. Additional headache symptoms were also recorded, predominantly anosmia/ageusia, followed by photophobia/phonophobia, and nausea/vomiting. Conclusion: Bilateral, long-lasting, with pressing-tightening characteristic headaches accompanied by fever, were more frequent in COVID-19 infected patients, in conjunction with anosmia/ageusia. These features may help physician to determine the headache related to COVID-19.
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