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J Neurol Sci . Neurological complications of coronavirus infection; a comparative review and lessons learned during the COVID-19 pandemic

tetano

Editor, Senior Moderator
J Neurol Sci


. 2020 Aug 7;417:117085.
doi: 10.1016/j.jns.2020.117085. Online ahead of print.
Neurological complications of coronavirus infection; a comparative review and lessons learned during the COVID-19 pandemic


Maryam Sharifian-Dorche[SUP] 1 [/SUP], Philippe Huot[SUP] 2 [/SUP], Michael Osherov[SUP] 2 [/SUP], Dingke Wen[SUP] 3 [/SUP], Alexander Saveriano[SUP] 2 [/SUP], Paul S Giacomini[SUP] 2 [/SUP], Jack P Antel[SUP] 2 [/SUP], Ashkan Mowla[SUP] 4 [/SUP]



Affiliations

Abstract

Introduction: Coronavirus disease-19 (COVID-19) pandemic continues to grow all over the world. Several studies have been performed, focusing on understanding the acute respiratory syndrome and treatment strategies. However, there is growing evidence indicating neurological manifestations occur in patients with COVID-19. Similarly, the other coronaviruses (CoV) epidemics; severe acute respiratory syndrome (SARS-CoV-1) and Middle East respiratory syndrome (MERS-CoV) have been associated with neurological complications.
Methods: This systematic review serves to summarize available information regarding the potential effects of different types of CoV on the nervous system and describes the range of clinical neurological complications that have been reported thus far in COVID-19.
Results: Two hundred and twenty-five studies on CoV infections associated neurological manifestations in human were reviewed. Of those, 208 articles were pertinent to COVID-19. The most common neurological complaints in COVID-19 were anosmia, ageusia, and headache, but more serious complications, such as stroke, impairment of consciousness, seizures, and encephalopathy, have also been reported.
Conclusion: There are several similarities between neurological complications after SARS-CoV-1, MERS-CoV and COVID-19, however, the scope of the epidemics and number of patients are very different. Reports on the neurological complications after and during COVID-19 are growing on a daily basis. Accordingly, comprehensive knowledge of these complications will help health care providers to be attentive to these complications and diagnose and treat them timely.

Keywords: COVID-19; Coronavirus; MERS-CoV; Neurological manifestations; SARS-CoV-1.
 
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