tetano
Editor, Senior Moderator
Front Neurol
. 2020 Jul 10;11:805.
doi: 10.3389/fneur.2020.00805. eCollection 2020.
Inpatient Neurology Consultations During the Onset of the SARS-CoV-2 New York City Pandemic: A Single Center Case Series
Sara Radmard[SUP] 1 [/SUP], Samantha E Epstein[SUP] 1 [/SUP], Hannah J Roeder[SUP] 1 [/SUP], Andrew J Michalak[SUP] 1 [/SUP], Steven D Shapiro[SUP] 1 [/SUP], Amelia Boehme[SUP] 2 [/SUP], Tommy J Wilson[SUP] 1 [/SUP], Juan C Duran[SUP] 3 [/SUP], Jennifer M Bain[SUP] 3 [/SUP], Joshua Z Willey[SUP] 1 [/SUP], Kiran T Thakur[SUP] 1 [/SUP]
Affiliations
Abstract
Objective: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) primarily causes respiratory illness. However, neurological sequelae from novel coronavirus disease 2019 (COVID-19) can occur. Patients with neurological conditions may be at higher risk of developing worsening of their underlying problem. Here we document our initial experiences as neurologic consultants at a single center quaternary hospital at the epicenter of the COVID-19 pandemic. Methods: This was a retrospective case series of adult patients diagnosed with SARS-CoV-2 who required neurological evaluation in the form of a consultation or primary neurological care from March 13, 2020 to April 1, 2020. Results: Thirty-three patients (ages 17-88 years) with COVID-19 infection who required neurological or admission to a primary neurology team were included in this study. The encountered neurological problems associated with SARS-CoV-2 infection were encephalopathy (12 patients, 36.4%), seizure (9 patients, 27.2%), stroke (5 patients, 15.2%), recrudescence of prior neurological disease symptoms (4 patients, 12.1%), and neuromuscular (3 patients, 9.1%). The majority of patients who required evaluation by neurology had elevated inflammatory markers. Twenty-one (63.6%) patients were discharged from the hospital and 12 (36.4%) died from COVID-19 related complications. Conclusion: This small case series of our initial encounters with COVID-19 infection describes a range of neurological complications which are similar to presentations seen with other critical illnesses. COVID-19 infection did not change the overall management of neurological problems.
Keywords: COVID-19; inpatient consults; neurology; novel coronavirus; severe acute respiratory syndrome coronavirus 2.
. 2020 Jul 10;11:805.
doi: 10.3389/fneur.2020.00805. eCollection 2020.
Inpatient Neurology Consultations During the Onset of the SARS-CoV-2 New York City Pandemic: A Single Center Case Series
Sara Radmard[SUP] 1 [/SUP], Samantha E Epstein[SUP] 1 [/SUP], Hannah J Roeder[SUP] 1 [/SUP], Andrew J Michalak[SUP] 1 [/SUP], Steven D Shapiro[SUP] 1 [/SUP], Amelia Boehme[SUP] 2 [/SUP], Tommy J Wilson[SUP] 1 [/SUP], Juan C Duran[SUP] 3 [/SUP], Jennifer M Bain[SUP] 3 [/SUP], Joshua Z Willey[SUP] 1 [/SUP], Kiran T Thakur[SUP] 1 [/SUP]
Affiliations
- PMID: 32754113
- PMCID: PMC7365853
- DOI: 10.3389/fneur.2020.00805
Abstract
Objective: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) primarily causes respiratory illness. However, neurological sequelae from novel coronavirus disease 2019 (COVID-19) can occur. Patients with neurological conditions may be at higher risk of developing worsening of their underlying problem. Here we document our initial experiences as neurologic consultants at a single center quaternary hospital at the epicenter of the COVID-19 pandemic. Methods: This was a retrospective case series of adult patients diagnosed with SARS-CoV-2 who required neurological evaluation in the form of a consultation or primary neurological care from March 13, 2020 to April 1, 2020. Results: Thirty-three patients (ages 17-88 years) with COVID-19 infection who required neurological or admission to a primary neurology team were included in this study. The encountered neurological problems associated with SARS-CoV-2 infection were encephalopathy (12 patients, 36.4%), seizure (9 patients, 27.2%), stroke (5 patients, 15.2%), recrudescence of prior neurological disease symptoms (4 patients, 12.1%), and neuromuscular (3 patients, 9.1%). The majority of patients who required evaluation by neurology had elevated inflammatory markers. Twenty-one (63.6%) patients were discharged from the hospital and 12 (36.4%) died from COVID-19 related complications. Conclusion: This small case series of our initial encounters with COVID-19 infection describes a range of neurological complications which are similar to presentations seen with other critical illnesses. COVID-19 infection did not change the overall management of neurological problems.
Keywords: COVID-19; inpatient consults; neurology; novel coronavirus; severe acute respiratory syndrome coronavirus 2.