新型冠状病毒感染患者的神经病变综述。
A Review of Neurological Involvement in Patients with SARS-CoV-2 Infection.
机构信息
Jiangxi Key Laboratory of Experimental Animals, Nanchang University, Nanchang, Jiangxi, China (mainland).
Queen Mary School, Medical Department, Nanchang University, Nanchang, Jiangxi, China (mainland).
出版信息
Med Sci Monit. 2021 Jun 19;27:e932962. doi: 10.12659/MSM.932962.
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the causative pathogen of the recent pandemic of coronavirus disease 19 (COVID-19). As the infection spreads, there is increasing evidence of neurological and psychiatric involvement in COVID-19. Headache, impaired consciousness, and olfactory and gustatory dysfunctions are common neurological manifestations described in the literature. Studies demonstrating more specific and more severe neurological involvement such as cerebrovascular insults, encephalitis and Guillain-Barre syndrome are also emerging. Respiratory failure, a significant condition that leads to mortality in COVID-19, is hypothesized to be partly due to brainstem impairment. Notably, some of these neurological complications seem to persist long after infection. This review aims to provide an update on what is currently known about neurological involvement in patients with COVID-19 due to SARS-CoV-2 infection. In this review, we demonstrate invasion routes of SARS-CoV-2, provide evidence to support the neurotropism hypothesis of the virus, and investigate the pathological mechanisms that underlie neurological complications associated with SARS-CoV-2.
严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)是导致最近冠状病毒病 19(COVID-19)大流行的病原体。随着感染的传播,越来越多的证据表明 COVID-19 存在神经系统和精神系统受累。在文献中描述了头痛、意识障碍和嗅觉及味觉功能障碍等常见的神经系统表现。此外,也出现了一些更具体和更严重的神经系统受累的研究,如脑血管损伤、脑炎和吉兰-巴雷综合征。呼吸衰竭是导致 COVID-19 患者死亡的一个重要病症,据推测部分原因是脑干损伤。值得注意的是,这些神经系统并发症中的一些似乎在感染后很长时间仍持续存在。本综述旨在提供目前已知的关于 SARS-CoV-2 感染导致 COVID-19 患者神经系统受累的最新信息。在本综述中,我们展示了 SARS-CoV-2 的入侵途径,提供了支持该病毒神经嗜性假说的证据,并研究了与 SARS-CoV-2 相关的神经系统并发症的病理机制。