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Potential neurological manifestations of COVID-19: a narrative review
NEMA Res Inc, Naples, FL 34108 USA.
Temple Univ, Sch Pharm, Philadelphia, PA 19122 USA.;Univ Arizona, Coll Pharm, Tucson, AZ 85721 USA.
Paolo Procacci Fdn, Rome, Italy.ORCID iD: 0000-0002-3822-2923
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Disciplinary Domain of Medicine and Pharmacy, research centers etc., Centre for Research and Development, Gävleborg. Karolinska Inst, Cardiol Res Unit, Dept Med, Stockholm, Sweden.ORCID iD: 0000-0001-7906-7782
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2022 (English)In: Postgraduate medicine, ISSN 0032-5481, E-ISSN 1941-9260, Vol. 134, no 4, p. 395-405Article, review/survey (Refereed) Published
Abstract [en]

Neurological manifestations are increasingly reported in a subset of COVID-19 patients. Previous infections related to coronaviruses, namely Severe Acute Respiratory Syndrome (SARS) and Middle Eastern Respiratory Syndrome (MERS) also appeared to have neurological effects on some patients. The viruses associated with COVID-19 like that of SARS enters the body via the ACE-2 receptors in the central nervous system, which causes the body to balance an immune response against potential damage to nonrenewable cells. A few rare cases of neurological sequelae of SARS and MERS have been reported. A growing body of evidence is accumulating that COVID-19, particularly in severe cases, may have neurological consequences although respiratory symptoms nearly always develop prior to neurological ones. Patients with preexisting neurological conditions may be at elevated risk for COVID-19-associated neurological symptoms. Neurological reports in COVID-19 patients have described encephalopathy, Guillain-Barre syndrome, myopathy, neuromuscular disorders, encephalitis, cephalgia, delirium, critical illness polyneuropathy, and others. Treating neurological symptoms can pose clinical challenges as drugs that suppress immune response may be contraindicated in COVID-19 patients. It is possible that in some COVID-19 patients, neurological symptoms are being overlooked or misinterpreted. To date, neurological manifestations of COVID-19 have been described largely within the disease trajectory and the long-term effects of such manifestations remain unknown.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2022. Vol. 134, no 4, p. 395-405
Keywords [en]
Coronavirus, COVID-19, MERS, neurological symptoms, SARS
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:uu:diva-485700DOI: 10.1080/00325481.2020.1837503ISI: 000606679100001PubMedID: 33089707OAI: oai:DiVA.org:uu-485700DiVA, id: diva2:1699473
Available from: 2022-09-28 Created: 2022-09-28 Last updated: 2025-02-20Bibliographically approved

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Publisher's full textPubMedhttps://www.tandfonline.com/doi/full/10.1080/00325481.2020.1837503

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Magnusson, Peter

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