tetano
Editor, Senior Moderator
Cureus
. 2024 Dec 19;16(12):e76005.
doi: 10.7759/cureus.76005. eCollection 2024 Dec. COVID-19-Associated Encephalopathy: A Case Series Demonstrating the Rapid Deterioration of Mental Status and a Review of the Literature
Jacky Reny[SUP] 1 [/SUP], Usman Siddiqui[SUP] 2 [/SUP], Andrew Cox[SUP] 2 [/SUP], Hussam Al Hennawi[SUP] 2 [/SUP], Jamie Swanson[SUP] 3 [/SUP], Arthur Siegel[SUP] 4 [/SUP], Todd Goldberg[SUP] 3 [/SUP]
Affiliations
Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is known for its severe inflammatory response, often leading to multi-organ dysfunction. Among the less-recognized complications is COVID-19-associated encephalopathy, particularly in the elderly, where it contributes significantly to morbidity and mortality. This report explores the rapid neurocognitive decline observed in six hospitalized patients with COVID-19, with or without pre-existing neurological conditions. Each case highlights the challenges of managing complex clinical courses and emphasizes the importance of early, multidisciplinary intervention, including palliative care, to address the goals of care. Given the underreporting of COVID-19-associated encephalopathy, this case series underscores the need for increased awareness and specialized care to improve patient outcomes, particularly in older populations.
Keywords: care disposition; cognitive impairment; covid-19; delirium; encephalopathy.
. 2024 Dec 19;16(12):e76005.
doi: 10.7759/cureus.76005. eCollection 2024 Dec. COVID-19-Associated Encephalopathy: A Case Series Demonstrating the Rapid Deterioration of Mental Status and a Review of the Literature
Jacky Reny[SUP] 1 [/SUP], Usman Siddiqui[SUP] 2 [/SUP], Andrew Cox[SUP] 2 [/SUP], Hussam Al Hennawi[SUP] 2 [/SUP], Jamie Swanson[SUP] 3 [/SUP], Arthur Siegel[SUP] 4 [/SUP], Todd Goldberg[SUP] 3 [/SUP]
Affiliations
- PMID: 39834950
- PMCID: PMC11743337
- DOI: 10.7759/cureus.76005
Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is known for its severe inflammatory response, often leading to multi-organ dysfunction. Among the less-recognized complications is COVID-19-associated encephalopathy, particularly in the elderly, where it contributes significantly to morbidity and mortality. This report explores the rapid neurocognitive decline observed in six hospitalized patients with COVID-19, with or without pre-existing neurological conditions. Each case highlights the challenges of managing complex clinical courses and emphasizes the importance of early, multidisciplinary intervention, including palliative care, to address the goals of care. Given the underreporting of COVID-19-associated encephalopathy, this case series underscores the need for increased awareness and specialized care to improve patient outcomes, particularly in older populations.
Keywords: care disposition; cognitive impairment; covid-19; delirium; encephalopathy.