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感染 SARS-CoV-2 后费力的言语伴有韵律障碍。

Effortful speech with distortion of prosody following SARS-CoV-2 infection.

机构信息

Neurology Unit, ASST-Valcamonica, Esine, Brescia, Italy.

Neuropsychology Unit, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.

出版信息

Neurol Sci. 2020 Dec;41(12):3767-3768. doi: 10.1007/s10072-020-04603-2. Epub 2020 Jul 27.

Abstract

Coronavirus disease 2019 (COVID-19) infection has the potential for targeting the central nervous system, and several neurological symptoms have been reported in patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We describe a 48-year-old Caucasian woman with SARS-CoV-2 infection followed by the onset of word finding difficulties, effortful speech along with prosody distortion, in the context of spared semantic and syntactic abilities. The clinical picture, perceived as foreign accent syndrome (FAS), was not associated with structural and functional imaging changes or neurophysiological assessment abnormalities. We suggest that FAS, herein perceived as a regional accent syndrome, should be considered a possible additional neurological manifestation of SARS-CoV-2.

摘要

新型冠状病毒病 2019(COVID-19)感染有可能针对中枢神经系统,并且在严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)患者中已经报道了几种神经系统症状。我们描述了一位 48 岁的白人女性,她感染了 SARS-CoV-2,随后出现了找词困难、费力的言语,以及韵律失真,而语义和句法能力得以保留。临床症状表现为外国口音综合征(FAS),但与结构和功能影像学改变或神经生理学评估异常无关。我们认为,在此处被视为区域性口音综合征的 FAS,应被视为 SARS-CoV-2 的一种可能的额外神经系统表现。

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本文引用的文献

1
Neuropathological Features of Covid-19.新冠病毒病的神经病理学特征
N Engl J Med. 2020 Sep 3;383(10):989-992. doi: 10.1056/NEJMc2019373. Epub 2020 Jun 12.
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Steroid-Responsive Encephalitis in Coronavirus Disease 2019.COVID-19 相关类固醇反应性脑炎。
Ann Neurol. 2020 Aug;88(2):423-427. doi: 10.1002/ana.25783. Epub 2020 Jun 9.
6
"Accent issue": foreign accent syndrome following ischemic stroke.“口音问题”:缺血性中风后的外国口音综合征。
Neurol Sci. 2019 Nov;40(11):2391-2397. doi: 10.1007/s10072-019-03962-9. Epub 2019 Jun 20.
7
Understanding foreign accent syndrome.了解外国口音综合征。
J Neurol Neurosurg Psychiatry. 2019 Nov;90(11):1265-1269. doi: 10.1136/jnnp-2018-319842. Epub 2019 Mar 2.

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