Neurological Implications of COVID-19 Infections
The magnitude of the COVID-19 pandemic will result in substantial neurological disease, whether through direct infection (rare), para-infectious complications (less rare), or critical illness more generally (common). Here, we raise the importance of stringent diagnosis and data collection regarding...
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| Vydáno v: | Neurocritical care Ročník 32; číslo 3; s. 667 - 671 |
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| Hlavní autoři: | , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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New York
Springer US
01.06.2020
Springer Nature B.V |
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| ISSN: | 1541-6933, 1556-0961, 1556-0961 |
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| Abstract | The magnitude of the COVID-19 pandemic will result in substantial neurological disease, whether through direct infection (rare), para-infectious complications (less rare), or critical illness more generally (common). Here, we raise the importance of stringent diagnosis and data collection regarding neurological complications of COVID-19; we urge caution in the over-diagnosis of neurological disease where it does not exist, but equally strongly encourage the concerted surveillance for such conditions. Additional to the direct neurological complications of COVID-19 infection, neurological patients are at risk of harm from both structural limitations (such as number of intensive care beds), and a hesitancy to treat with certain necessary medications given risk of nosocomial COVID-19 infection. We therefore also outline the specific management of patients with neuroinflammatory diseases in the context of the pandemic. This article describes the implications of COVID-19 on neurological disease and advertises the Neurocritical Care Society’s international data collection collaborative that seeks to align data elements. |
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| AbstractList | The magnitude of the COVID-19 pandemic will result in substantial neurological disease, whether through direct infection (rare), para-infectious complications (less rare), or critical illness more generally (common). Here, we raise the importance of stringent diagnosis and data collection regarding neurological complications of COVID-19; we urge caution in the over-diagnosis of neurological disease where it does not exist, but equally strongly encourage the concerted surveillance for such conditions. Additional to the direct neurological complications of COVID-19 infection, neurological patients are at risk of harm from both structural limitations (such as number of intensive care beds), and a hesitancy to treat with certain necessary medications given risk of nosocomial COVID-19 infection. We therefore also outline the specific management of patients with neuroinflammatory diseases in the context of the pandemic. This article describes the implications of COVID-19 on neurological disease and advertises the Neurocritical Care Society’s international data collection collaborative that seeks to align data elements. The magnitude of the COVID-19 pandemic will result in substantial neurological disease, whether through direct infection (rare), para-infectious complications (less rare), or critical illness more generally (common). Here, we raise the importance of stringent diagnosis and data collection regarding neurological complications of COVID-19; we urge caution in the over-diagnosis of neurological disease where it does not exist, but equally strongly encourage the concerted surveillance for such conditions. Additional to the direct neurological complications of COVID-19 infection, neurological patients are at risk of harm from both structural limitations (such as number of intensive care beds), and a hesitancy to treat with certain necessary medications given risk of nosocomial COVID-19 infection. We therefore also outline the specific management of patients with neuroinflammatory diseases in the context of the pandemic. This article describes the implications of COVID-19 on neurological disease and advertises the Neurocritical Care Society's international data collection collaborative that seeks to align data elements.The magnitude of the COVID-19 pandemic will result in substantial neurological disease, whether through direct infection (rare), para-infectious complications (less rare), or critical illness more generally (common). Here, we raise the importance of stringent diagnosis and data collection regarding neurological complications of COVID-19; we urge caution in the over-diagnosis of neurological disease where it does not exist, but equally strongly encourage the concerted surveillance for such conditions. Additional to the direct neurological complications of COVID-19 infection, neurological patients are at risk of harm from both structural limitations (such as number of intensive care beds), and a hesitancy to treat with certain necessary medications given risk of nosocomial COVID-19 infection. We therefore also outline the specific management of patients with neuroinflammatory diseases in the context of the pandemic. This article describes the implications of COVID-19 on neurological disease and advertises the Neurocritical Care Society's international data collection collaborative that seeks to align data elements. |
| Author | Coles, Alasdair J. Menon, David K. Chou, Sherry H.-Y. Needham, Edward J. |
| Author_xml | – sequence: 1 givenname: Edward J. surname: Needham fullname: Needham, Edward J. email: edneedham@doctors.org.uk organization: Department of Clinical Neurosciences, University of Cambridge, Division of Anaesthesia, University of Cambridge – sequence: 2 givenname: Sherry H.-Y. surname: Chou fullname: Chou, Sherry H.-Y. organization: Departments of Critical Care Medicine, Neurology, and Neurosurgery, University of Pittsburgh School of Medicine – sequence: 3 givenname: Alasdair J. surname: Coles fullname: Coles, Alasdair J. organization: Department of Clinical Neurosciences, University of Cambridge – sequence: 4 givenname: David K. surname: Menon fullname: Menon, David K. organization: Division of Anaesthesia, University of Cambridge |
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| Cites_doi | 10.4103/1817-1745.165716 10.1016/j.mehy.2009.12.012 10.1186/s13054-014-0699-2 10.1056/NEJMoa1301372 10.1007/s15010-015-0720-y 10.1016/S0140-6736(20)30317-2 10.1016/j.tmrv.2013.05.004 10.1056/NEJMc1509458 10.1161/STROKEAHA.116.016162 10.1016/S0140-6736(20)30566-3 |
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| Keywords | COVID-19 Encephalitis Guillain–Barré syndrome Acute disseminated encephalomyelitis |
| Language | English |
| License | This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
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| References | Pandharipande, Girard, Jackson (CR15) 2013; 369 CR4 Filatov, Sharma, Hindi (CR8) 2020; 12 Zhou, Yu, Du (CR10) 2020; 395 CR5 Maurizi (CR16) 2010; 74 Arabi, Harthi, Hussein (CR3) 2015; 43 CR7 CR18 Stiehm (CR14) 2013; 27 CR17 CR9 Busani, Damiani, Cavazzuti (CR13) 2016; 82 Turgay, Emine, Ozlem, Muhammet, Haydar (CR2) 2015; 10 Morfopoulou, Brown, Davies (CR1) 2016; 375 Boehme, Ranawat, Luna, Kamel, Elkind (CR6) 2017; 48 Russel, Millar, Baillie (CR11) 2020; 395 Rimmer, Houston, Kumar (CR12) 2014; 18 |
| References_xml | – volume: 12 start-page: e7352 issue: 3 year: 2020 ident: CR8 article-title: Neurological complications of coronavirus disease (COVID-19): encephalopathy publication-title: Cureus – ident: CR18 – volume: 10 start-page: 280 issue: 3 year: 2015 end-page: 281 ident: CR2 article-title: A rare cause of acute flaccid paralysis: human corona viruses publication-title: J Pediatr Neurosci doi: 10.4103/1817-1745.165716 – ident: CR4 – volume: 74 start-page: 798 issue: 5 year: 2010 end-page: 801 ident: CR16 article-title: Influenza caused epidemic encephalitis (encephalitis lethargica): the circumstantial evidence and a challenge to the nonbelievers publication-title: Med Hypotheses doi: 10.1016/j.mehy.2009.12.012 – volume: 18 start-page: 699 issue: 6 year: 2014 ident: CR12 article-title: The efficacy and safety of plasma exchange in patients with sepsis and septic shock: a systematic review and meta-analysis publication-title: Crit Care doi: 10.1186/s13054-014-0699-2 – ident: CR17 – ident: CR9 – volume: 369 start-page: 1306 issue: 14 year: 2013 end-page: 1316 ident: CR15 article-title: Long-term cognitive impairment after critical illness publication-title: N Engl J Med doi: 10.1056/NEJMoa1301372 – volume: 43 start-page: 495 issue: 4 year: 2015 end-page: 501 ident: CR3 article-title: Severe neurologic syndrome associated with Middle East respiratory syndrome corona virus (MERS-CoV) publication-title: Infection doi: 10.1007/s15010-015-0720-y – ident: CR5 – volume: 395 start-page: 473 year: 2020 end-page: 475 ident: CR11 article-title: Clinical evidence does not support corticosteroid treatment for 2019-nCoV lung injury publication-title: Lancet doi: 10.1016/S0140-6736(20)30317-2 – ident: CR7 – volume: 82 start-page: 559 issue: 5 year: 2016 end-page: 572 ident: CR13 article-title: Intravenous immunoglobulin in septic shock: review of the mechanisms of action and meta-analysis of the clinical effectiveness publication-title: Minerva Anestesiol – volume: 27 start-page: 171 issue: 3 year: 2013 end-page: 178 ident: CR14 article-title: Adverse effects of human immunoglobulin therapy publication-title: Transfus Med Rev doi: 10.1016/j.tmrv.2013.05.004 – volume: 375 start-page: 497 year: 2016 end-page: 498 ident: CR1 article-title: Human coronavirus OC43 associated with fatal encephalitis publication-title: N Engl J Med doi: 10.1056/NEJMc1509458 – volume: 48 start-page: 574 issue: 3 year: 2017 end-page: 580 ident: CR6 article-title: Risk of acute stroke after hospitalization for sepsis: a case-crossover study publication-title: Stroke doi: 10.1161/STROKEAHA.116.016162 – volume: 395 start-page: 1054 year: 2020 end-page: 1062 ident: CR10 article-title: Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study publication-title: Lancet doi: 10.1016/S0140-6736(20)30566-3 |
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| SubjectTerms | Betacoronavirus Biomarkers Brain research Cognitive Dysfunction - etiology Conflicts of interest Consent Coronavirus Infections - complications Coronavirus Infections - physiopathology COVID-19 Critical Care Critical Care Medicine Critical Illness Cross Infection - prevention & control Data Collection Disease Encephalitis Encephalomyelitis Encephalomyelitis, Acute Disseminated - etiology Epidemics Guillain-Barre syndrome Guillain-Barre Syndrome - etiology Humans Illnesses Immunosuppressive Agents - adverse effects Infection Control Infections Intensive Internal Medicine International Cooperation Longitudinal studies Medical laboratories Medicine Medicine & Public Health Mortality Myelitis, Transverse - etiology Nervous System Diseases - drug therapy Nervous System Diseases - etiology Nervous System Diseases - physiopathology Neurology Pandemics Pneumonia, Viral - complications Pneumonia, Viral - physiopathology SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Thromboembolism Viewpoint |
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| Title | Neurological Implications of COVID-19 Infections |
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