Robinson-Agramonte Maria de Los Angeles, Sánchez Teresa Serrano, García Elena Noris, Barrera Orlando Rafael Serrano, Siniscalco Dario
International Center for Neurological Restoration, Neuroimmunology Department, University of Medical Sciences of Havana, Havana 11300, Cuba.
Institute of Nephrology, Department of Immunology, Havana 10600, Cuba.
Behav Sci (Basel). 2023 Sep 17;13(9):776. doi: 10.3390/bs13090776.
Neuropsychiatric manifestations of viral infections (both per se and secondary to the neuroinflammatory reaction of the host) are mainly attributed to immunological reactions, so many aspects of their pathogenesis are still nuclear. Some novel therapeutic strategies are progressively emerging in which a vaccination may be having a particular impact on recovery and reduction of death. In this context, it is accepted that the SARS-CoV-2 virus is profoundly neurotropic and neuroinvasive, with various effects on the nervous system, although there is no complete understanding of the mechanism of neuroinvasion, brain injury, or short- or long-term neuropsychiatric sequelae. Therefore, it is necessary to understand the post-infectious manifestations of COVID-19 to guide the management of neuropsychiatric diseases. Thus, based on different research groups focused on this field, in this manuscript we summarize papers on COVID-19 and the nervous system (NS) published in a series of articles by Cuban authors. This review focuses on cognitive and affective emotional states, pathogenesis, biomarkers, clinical manifestations, and intervention strategies.
病毒感染的神经精神表现(包括其本身以及继发于宿主的神经炎症反应)主要归因于免疫反应,因此其发病机制的许多方面仍不清楚。一些新的治疗策略正在逐渐出现,其中疫苗接种可能对康复和降低死亡率产生特别的影响。在这种情况下,尽管对神经侵袭、脑损伤或短期或长期神经精神后遗症的机制尚未完全了解,但人们公认严重急性呼吸综合征冠状病毒2(SARS-CoV-2)病毒具有高度嗜神经性和神经侵袭性,对神经系统有多种影响。因此,有必要了解新型冠状病毒肺炎(COVID-19)感染后的表现,以指导神经精神疾病的管理。因此,基于专注于该领域的不同研究小组,在本手稿中,我们总结了古巴作者在一系列文章中发表的关于COVID-19与神经系统(NS)的论文。本综述重点关注认知和情感情绪状态、发病机制、生物标志物、临床表现和干预策略。