Majolo Fernanda, Silva Guilherme Liberato da, Vieira Lucas, Anli Cetin, Timmers Luís Fernando Saraiva Macedo, Laufer Stefan, Goettert Márcia Inês
Post-Graduate Program in Biotechnology, Universidade do Vale do Taquari-Univates, Lajeado 95914-014, Rio Grande do Sul, Brazil.
Postgraduate Program in Medical Sciences Center, Universidade do Vale do Taquari-Univates, Lajeado 95914-014, Rio Grande do Sul, Brazil.
Pharmaceuticals (Basel). 2021 Sep 17;14(9):933. doi: 10.3390/ph14090933.
SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus-2) affects the central nervous system (CNS), which is shown in a significant number of patients with neurological events. In this study, an updated literature review was carried out regarding neurological disorders in COVID-19. Neurological symptoms are more common in patients with severe infection according to their respiratory status and divided into three categories: (1) CNS manifestations; (2) cranial and peripheral nervous system manifestations; and (3) skeletal muscle injury manifestations. Patients with pre-existing cerebrovascular disease are at a higher risk of admission to the intensive care unit (ICU) and mortality. The neurological manifestations associated with COVID-19 are of great importance, but when life-threatening abnormal vital signs occur in severely ill COVID-19 patients, neurological problems are usually not considered. It is crucial to search for new treatments for brain damage, as well as for alternative therapies that recover the damaged brain and reduce the inflammatory response and its consequences for other organs. In addition, there is a need to diagnose these manifestations as early as possible to limit long-term consequences. Therefore, much research is needed to explain the involvement of SARS-CoV-2 causing these neurological symptoms because scientists know zero about it.
严重急性呼吸综合征冠状病毒2(SARS-CoV-2)会影响中枢神经系统(CNS),这在大量出现神经事件的患者中得到了体现。在本研究中,针对新型冠状病毒肺炎(COVID-19)患者的神经障碍进行了一次最新的文献综述。根据呼吸状况,神经症状在重症感染患者中更为常见,并分为三类:(1)中枢神经系统表现;(2)颅神经和周围神经系统表现;(3)骨骼肌损伤表现。患有既往脑血管疾病的患者入住重症监护病房(ICU)和死亡的风险更高。与COVID-19相关的神经表现非常重要,但在重症COVID-19患者出现危及生命的异常生命体征时,通常不会考虑神经问题。寻找治疗脑损伤的新方法以及恢复受损大脑、减轻炎症反应及其对其他器官影响的替代疗法至关重要。此外,需要尽早诊断这些表现以限制长期后果。因此,需要进行大量研究来解释SARS-CoV-2导致这些神经症状的机制,因为科学家对此一无所知。