Ivanova G E, Bogolepova A N, Levin O S, Shamalov N A, Khasanova D R, Yanishevsky S N, Zakharov V V, Khatkova S E, Stakhovskya L V
Pirogov Russian National Research Medical University, Moscow, Russia.
Federal Center for Brain and Neurotechnology, Moscow, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2021;121(6):145-151. doi: 10.17116/jnevro2021121061145.
Last year the global medical community faced the pandemic of the new coronavirus infection caused by SARS-CoV-2. To date, there is considerable expert experience, which indicates that the brain, along with the corresponding respiratory system, is a target organ for a new coronavirus infection. Moreover, a number of symptoms from the central and peripheral nervous system can persist for several weeks, months, and even tens of months. To designate such protracted clinical conditions, a new definition was introduced: «Post-COVID-19 Condition». Advisory Board of Neurologists and Rehabilitation Therapists met to, discuss of practical experience and taking into account scientific information about COVID-19, which was available at the time of the meeting, to develop unified approaches for the management of patients with neurological complications and the consequences of a new coronavirus infection. The Advisory Board worked out a resolution in which formulated the tactics of managing patients with neurological manifestations of COVID-19. The substantiation of the importance and expediency of the development and implementation of a special program of clinical examination of patients who have undergone COVID-19, which would include a clinical examination with a detailed assessment of cognitive functions to early identification and diagnosis of neurodegeneration and subsequent therapy, is given.
去年,全球医学界面临由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的新型冠状病毒感染大流行。迄今为止,已有相当多的专家经验表明,大脑与相应的呼吸系统一样,是新型冠状病毒感染的靶器官。此外,中枢和外周神经系统的一些症状可能会持续数周、数月甚至数十个月。为了描述这种迁延性临床病症,引入了一个新定义:“新冠后状况”。神经科医生和康复治疗师咨询委员会召开会议,讨论实际经验,并结合会议期间可获取的有关新冠病毒病的科学信息,制定针对神经系统并发症和新型冠状病毒感染后果患者的统一管理方法。咨询委员会制定了一项决议,其中阐述了新冠病毒病神经表现患者的管理策略。文中给出了开展并实施针对新冠病毒病康复患者的特殊临床检查项目的重要性和必要性的依据,该项目应包括临床检查以及对认知功能的详细评估,以便早期识别和诊断神经退行性变并进行后续治疗。