Neurological manifestations and complications of COVID-19: A literature review

•COVID-19 primarily affects the lungs and respiratory system.•Some patients may present with neurological symptoms.•Most common CNS manifestations include headache, dizziness and encephalopathy.•Most frequently reported PNS manifestations include loss of smell and taste which may be a presenting sym...

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Vydáno v:Journal of clinical neuroscience Ročník 77; s. 8 - 12
Hlavní autoři: Ahmad, Imran, Rathore, Farooq Azam
Médium: Journal Article
Jazyk:angličtina
Vydáno: Scotland Elsevier Ltd 01.07.2020
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ISSN:0967-5868, 1532-2653, 1532-2653
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Abstract •COVID-19 primarily affects the lungs and respiratory system.•Some patients may present with neurological symptoms.•Most common CNS manifestations include headache, dizziness and encephalopathy.•Most frequently reported PNS manifestations include loss of smell and taste which may be a presenting symptom as well.•Neurological complications are more common in severely ill COVID-19 patients. The Coronavirus disease due to SARS-CoV-2 emerged in Wuhan city, China in December 2019 and rapidly spread to more than 200 countries as a global health pandemic. There are more than 3.5 million confirmed cases and around 165,000 to 243,000 fatalities. The primary manifestation is respiratory and cardiac but neurological features are also being reported in the literature as case reports and case series. The most common reported symptoms to include headache and dizziness followed by encephalopathy and delirium. Among the complications noted are Cerebrovascular accident, Guillian barre syndrome, acute transverse myelitis, and acute encephalitis. The most common peripheral manifestation was hyposmia. It is further noted that sometimes the neurological manifestations can precede the typical features like fever and cough and later on typical manifestations develop in these patients. Hence a high index of suspicion is required for timely diagnosis and isolation of cases to prevent the spread in neurology wards. We present a narrative review of the neurological manifestations and complications of COVID-19. Our aim is to update the neurologists and physicians working with suspected cases of COVID-19 about the possible neurological presentations and the probable neurological complications resulting from this novel virus infection.
AbstractList • COVID-19 primarily affects the lungs and respiratory system. • Some patients may present with neurological symptoms. • Most common CNS manifestations include headache, dizziness and encephalopathy. • Most frequently reported PNS manifestations include loss of smell and taste which may be a presenting symptom as well. • Neurological complications are more common in severely ill COVID-19 patients. The Coronavirus disease due to SARS-CoV-2 emerged in Wuhan city, China in December 2019 and rapidly spread to more than 200 countries as a global health pandemic. There are more than 3.5 million confirmed cases and around 165,000 to 243,000 fatalities. The primary manifestation is respiratory and cardiac but neurological features are also being reported in the literature as case reports and case series. The most common reported symptoms to include headache and dizziness followed by encephalopathy and delirium. Among the complications noted are Cerebrovascular accident, Guillian barre syndrome, acute transverse myelitis, and acute encephalitis. The most common peripheral manifestation was hyposmia. It is further noted that sometimes the neurological manifestations can precede the typical features like fever and cough and later on typical manifestations develop in these patients. Hence a high index of suspicion is required for timely diagnosis and isolation of cases to prevent the spread in neurology wards. We present a narrative review of the neurological manifestations and complications of COVID-19. Our aim is to update the neurologists and physicians working with suspected cases of COVID-19 about the possible neurological presentations and the probable neurological complications resulting from this novel virus infection.
•COVID-19 primarily affects the lungs and respiratory system.•Some patients may present with neurological symptoms.•Most common CNS manifestations include headache, dizziness and encephalopathy.•Most frequently reported PNS manifestations include loss of smell and taste which may be a presenting symptom as well.•Neurological complications are more common in severely ill COVID-19 patients. The Coronavirus disease due to SARS-CoV-2 emerged in Wuhan city, China in December 2019 and rapidly spread to more than 200 countries as a global health pandemic. There are more than 3.5 million confirmed cases and around 165,000 to 243,000 fatalities. The primary manifestation is respiratory and cardiac but neurological features are also being reported in the literature as case reports and case series. The most common reported symptoms to include headache and dizziness followed by encephalopathy and delirium. Among the complications noted are Cerebrovascular accident, Guillian barre syndrome, acute transverse myelitis, and acute encephalitis. The most common peripheral manifestation was hyposmia. It is further noted that sometimes the neurological manifestations can precede the typical features like fever and cough and later on typical manifestations develop in these patients. Hence a high index of suspicion is required for timely diagnosis and isolation of cases to prevent the spread in neurology wards. We present a narrative review of the neurological manifestations and complications of COVID-19. Our aim is to update the neurologists and physicians working with suspected cases of COVID-19 about the possible neurological presentations and the probable neurological complications resulting from this novel virus infection.
The Coronavirus disease due to SARS-CoV-2 emerged in Wuhan city, China in December 2019 and rapidly spread to more than 200 countries as a global health pandemic. There are more than 3.5 million confirmed cases and around 165,000 to 243,000 fatalities. The primary manifestation is respiratory and cardiac but neurological features are also being reported in the literature as case reports and case series. The most common reported symptoms to include headache and dizziness followed by encephalopathy and delirium. Among the complications noted are Cerebrovascular accident, Guillian barre syndrome, acute transverse myelitis, and acute encephalitis. The most common peripheral manifestation was hyposmia. It is further noted that sometimes the neurological manifestations can precede the typical features like fever and cough and later on typical manifestations develop in these patients. Hence a high index of suspicion is required for timely diagnosis and isolation of cases to prevent the spread in neurology wards. We present a narrative review of the neurological manifestations and complications of COVID-19. Our aim is to update the neurologists and physicians working with suspected cases of COVID-19 about the possible neurological presentations and the probable neurological complications resulting from this novel virus infection.
The Coronavirus disease due to SARS-CoV-2 emerged in Wuhan city, China in December 2019 and rapidly spread to more than 200 countries as a global health pandemic. There are more than 3.5 million confirmed cases and around 165,000 to 243,000 fatalities. The primary manifestation is respiratory and cardiac but neurological features are also being reported in the literature as case reports and case series. The most common reported symptoms to include headache and dizziness followed by encephalopathy and delirium. Among the complications noted are Cerebrovascular accident, Guillian barre syndrome, acute transverse myelitis, and acute encephalitis. The most common peripheral manifestation was hyposmia. It is further noted that sometimes the neurological manifestations can precede the typical features like fever and cough and later on typical manifestations develop in these patients. Hence a high index of suspicion is required for timely diagnosis and isolation of cases to prevent the spread in neurology wards. We present a narrative review of the neurological manifestations and complications of COVID-19. Our aim is to update the neurologists and physicians working with suspected cases of COVID-19 about the possible neurological presentations and the probable neurological complications resulting from this novel virus infection.The Coronavirus disease due to SARS-CoV-2 emerged in Wuhan city, China in December 2019 and rapidly spread to more than 200 countries as a global health pandemic. There are more than 3.5 million confirmed cases and around 165,000 to 243,000 fatalities. The primary manifestation is respiratory and cardiac but neurological features are also being reported in the literature as case reports and case series. The most common reported symptoms to include headache and dizziness followed by encephalopathy and delirium. Among the complications noted are Cerebrovascular accident, Guillian barre syndrome, acute transverse myelitis, and acute encephalitis. The most common peripheral manifestation was hyposmia. It is further noted that sometimes the neurological manifestations can precede the typical features like fever and cough and later on typical manifestations develop in these patients. Hence a high index of suspicion is required for timely diagnosis and isolation of cases to prevent the spread in neurology wards. We present a narrative review of the neurological manifestations and complications of COVID-19. Our aim is to update the neurologists and physicians working with suspected cases of COVID-19 about the possible neurological presentations and the probable neurological complications resulting from this novel virus infection.
Author Rathore, Farooq Azam
Ahmad, Imran
Author_xml – sequence: 1
  givenname: Imran
  surname: Ahmad
  fullname: Ahmad, Imran
  organization: Department of Neurology, Bahria University Medical and Dental College, Karachi, Pakistan
– sequence: 2
  givenname: Farooq Azam
  surname: Rathore
  fullname: Rathore, Farooq Azam
  email: farooqrathore@gmail.com
  organization: Department of Rehabilitation Medicine, Bahria University Medical and Dental College, Karachi, Pakistan
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32409215$$D View this record in MEDLINE/PubMed
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Keywords Delirium
Neurology
Encephalitis
Headache
Clinical features
Stroke
Coronavirus
Language English
License Copyright © 2020 Elsevier Ltd. All rights reserved.
Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
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Snippet •COVID-19 primarily affects the lungs and respiratory system.•Some patients may present with neurological symptoms.•Most common CNS manifestations include...
The Coronavirus disease due to SARS-CoV-2 emerged in Wuhan city, China in December 2019 and rapidly spread to more than 200 countries as a global health...
• COVID-19 primarily affects the lungs and respiratory system. • Some patients may present with neurological symptoms. • Most common CNS manifestations include...
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SubjectTerms Betacoronavirus - pathogenicity
Clinical features
Comorbidity
Coronavirus
Coronavirus Infections - diagnosis
Coronavirus Infections - epidemiology
Coronavirus Infections - physiopathology
Coronavirus Infections - psychology
COVID-19
Delirium
Encephalitis
Headache
Humans
Nervous System Diseases - diagnosis
Nervous System Diseases - epidemiology
Nervous System Diseases - physiopathology
Nervous System Diseases - psychology
Neurology
Pandemics
Pneumonia, Viral - diagnosis
Pneumonia, Viral - epidemiology
Pneumonia, Viral - physiopathology
Pneumonia, Viral - psychology
SARS-CoV-2
Stroke
Title Neurological manifestations and complications of COVID-19: A literature review
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https://dx.doi.org/10.1016/j.jocn.2020.05.017
https://www.ncbi.nlm.nih.gov/pubmed/32409215
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https://pubmed.ncbi.nlm.nih.gov/PMC7200361
Volume 77
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