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新型冠状病毒肺炎的急性和急性后神经并发症

Acute and Post-Acute Neurological Complications of COVID-19.

作者信息

Al-Ramadan Ali, Rabab'h Omar, Shah Jawad, Gharaibeh Abeer

机构信息

Insight Research Institute, Flint, MI 48507, USA.

Center for Cognition and Neuroethics, University of Michigan-Flint, Flint, MI 48502, USA.

出版信息

Neurol Int. 2021 Mar 9;13(1):102-119. doi: 10.3390/neurolint13010010.

Abstract

Coronavirus disease 2019 (COVID-19) is an emerging global health emergency caused by the novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The global outbreak of SARS-CoV-2 infection has been declared a global pandemic by the World Health Organization (WHO). The clinical presentation of SARS-CoV-2 infection depends on the severity of the disease and may range from an asymptomatic infection to a severe and lethal illness. Fever, cough, and shortness of breath are among the most common symptoms associated with SARS-CoV-2 infection. Accumulating evidence indicates that COVID-19 patients commonly develop neurological symptoms, such as headache, altered mental status, anosmia, and myalgia. In this comprehensive literature review, we have summarized the most common neurological complications and reported neurological case studies associated with COVID-19, and neurological side effects associated with COVID-19 treatments. Additionally, the post-acute COVID-19 syndrome and long-term neurological complications were discussed. We also explained the proposed mechanisms that are involved in the pathogenesis of these neurological complications.

摘要

2019冠状病毒病(COVID-19)是由新型冠状病毒严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的一种新出现的全球卫生紧急情况。世界卫生组织(WHO)已宣布SARS-CoV-2感染的全球暴发为全球大流行。SARS-CoV-2感染的临床表现取决于疾病的严重程度,范围可从无症状感染到严重和致命疾病。发热、咳嗽和呼吸急促是与SARS-CoV-2感染相关的最常见症状。越来越多的证据表明,COVID-19患者通常会出现神经系统症状,如头痛、精神状态改变、嗅觉丧失和肌痛。在这篇全面的文献综述中,我们总结了与COVID-19相关的最常见神经系统并发症、已报道的神经系统病例研究以及与COVID-19治疗相关的神经系统副作用。此外,还讨论了急性后COVID-19综合征和长期神经系统并发症。我们还解释了这些神经系统并发症发病机制中涉及的推测机制。

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