Kurushina O V, Barulin A E
Volgograd State Medical University, Volgograd, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2021;121(1):92-97. doi: 10.17116/jnevro202112101192.
This review examines the current data on central nervous system damage in cases of the new coronavirus infection caused by the COVID-19 virus. The pathogenetic mechanisms leading to damage to the brain and spinal cord are considered. The analysis of available research articles and meta-analyzes published up to fall 2020 is carried out. The authors provide the results of their own clinical observations of various forms of damage to the central nervous system in cases of COVID-19 virus disease. Particular attention is paid to certain common forms of damage to the central nervous system, such as encephalitis, cerebrovascular pathology, and headaches. A form of acute hemorrhagic necrotizing encephalopathy is distinguished, which is a rather rare but fatal pathology, comorbid with the COVID-19 virus. The data of our own clinical case of acute necrotizing encephalopathy are presented. The importance of further studying the effect of coronavirus on the central nervous system and possible mechanisms of therapy and rehabilitation for this category of patients is emphasized.
本综述研究了由新冠病毒(COVID-19病毒)感染导致的中枢神经系统损伤的现有数据。探讨了导致脑和脊髓损伤的发病机制。对截至2020年秋季发表的现有研究文章和荟萃分析进行了分析。作者提供了他们对COVID-19病毒病患者中枢神经系统各种损伤形式的临床观察结果。特别关注中枢神经系统损伤的某些常见形式,如脑炎、脑血管病变和头痛。区分出一种急性出血性坏死性脑病形式,它是一种相当罕见但致命的病理学情况,与COVID-19病毒合并存在。展示了我们自己关于急性坏死性脑病临床病例的数据。强调了进一步研究冠状病毒对中枢神经系统的影响以及这类患者可能的治疗和康复机制的重要性。