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Neurol Psychiatry Brain Res . Seizure And COVID-19: Association and Review of Potential Mechanism

tetano

Editor, Senior Moderator
Neurol Psychiatry Brain Res


. 2020 Oct 13.
doi: 10.1016/j.npbr.2020.10.001. Online ahead of print.
Seizure And COVID-19: Association and Review of Potential Mechanism


Rudman Joseph[SUP] 1 [/SUP], Naureen Narula[SUP] 2 [/SUP], Aref Daouk[SUP] 2 [/SUP], Nakul Katyal[SUP] 3 [/SUP], Sudeep Acharya[SUP] 1 [/SUP], Akshay Avula[SUP] 1 2 [/SUP], Rabih Maroun[SUP] 2 [/SUP]



Affiliations
Free PMC article

Abstract

Since the emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Wuhan, China, this highly transmissible virus has since spread rapidly around the world. Though respiratory complication is the primarily reported manifestation though rare, yet serious neurological complications are being frequently reported in the literature. In selected coronavirus disease-2019 (COVID-19) cases neurologic complications may manifest as seizures. In this paper, we have reviewed current literature on seizures linked with SARS- COV 2 infection including published or pre-print original articles, review articles, and case reports. We have discussed the electroencephalogram (EEG), imaging, and Cerebrospinal fluid (CSF) findings in COVID-19 patients presenting with seizure. We will be concluding the paper by briefly discussing the three possible seizure development mechanisms in patients infected with SARS- COV 2, which includes - (a) Direct Mechanism (b) Indirect Mechanism and (c) Exacerbation of Seizure in Patients with Epilepsy (PWE). Our aim is to update the physicians working with COVID-19 patients about this potential complication and hope that understanding of these proposed mechanisms can provide an opportunity for the physicians for early diagnosis or even better, help prevent this complication.

Keywords: Brain; COVID-19; Central nervous system; Neuroscience; SARS-Cov-2; Seizure.
 
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