Roushdy Tamer
Neurology Department, Faculty of Medicine, Ain Shams University, 38 Abbasia, Cairo, 11591 Egypt.
Egypt J Neurol Psychiatr Neurosurg. 2022;58(1):127. doi: 10.1186/s41983-022-00563-w. Epub 2022 Nov 8.
Pandemic represents challenging medical emergency as it is usually associated with high rates of mortalities and morbidities. Along the last 2 and half years the world has faced the emergence of severe acute respiratory syndrome corona virus 2 pandemic that caught medical agencies and health authorities by surprise and costed more than half billion morbidities and 6 million mortalities. Unfortunately, the way developed countries contained the novel corona virus was unsatisfactory in means of early quarantines as well as obtaining and distributing an effective vaccine. This failure in management might have been responsible for the emergence of a new potential pandemic caused by monkeypox virus. Along the current review article, a detailed comparison is presented between corona virus and monkeypox virus based on virological characteristics, role of corona virus in monkeypox spread, pathogenesis, neuropsychiatric manifestations, and treatment and management. It is obvious that both viruses have a major role in causing various neuropsychiatric manifestations. Neurological manifestations are either bound directly to the virus spread to central and peripheral nervous system or secondary to triggering an immune reaction. Psychiatric ones are mostly related to stigmatization, isolation as well as changes that takes place in neurotransmitters and their metabolites within the nervous system. Dealing properly with monkeypox virus spread through previously learned lessons from corona virus might protect the world from a new pandemic.
大流行是具有挑战性的医疗紧急情况,因为它通常伴随着高死亡率和高发病率。在过去的两年半里,世界面临着严重急性呼吸综合征冠状病毒2大流行的出现,这让医疗机构和卫生当局措手不及,导致超过5亿人发病,600万人死亡。不幸的是,发达国家控制新型冠状病毒的方式在早期隔离以及获取和分发有效疫苗方面并不令人满意。这种管理上的失败可能是导致猴痘病毒引发新的潜在大流行的原因。在这篇综述文章中,基于病毒学特征、冠状病毒在猴痘传播中的作用、发病机制、神经精神表现以及治疗和管理,对冠状病毒和猴痘病毒进行了详细比较。很明显,这两种病毒在引起各种神经精神表现方面都起着重要作用。神经表现要么直接与病毒传播到中枢和外周神经系统有关,要么继发于引发免疫反应。精神表现大多与污名化、隔离以及神经系统中神经递质及其代谢产物发生的变化有关。通过从冠状病毒中吸取的经验教训妥善应对猴痘病毒的传播,可能会保护世界免受新的大流行。