Xiao Mei-Fang, You Zhi-Jian, Zeng Chang, Huang Ze-Bing, Dong Liang
Health Management Center, Xiangya Hospital Central South University Changsha Hunan China.
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital Central South University Changsha China.
Ibrain. 2021 Dec 20;7(4):351-361. doi: 10.1002/ibra.12008. eCollection 2021 Winter.
Novel coronavirus 19 (COVID-19) is the latest and most intense epidemic, which is caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). In addition to causing respiratory symptoms, SARS-CoV-2 can have severe effects on the nervous system. Clinically, COVID-19 patients have been reported ranging from mild hypogeusia and hyposmia to severe neurological disorders, such as encephalopathy, encephalitis, strokes, and seizures syndrome. However, the pathological mechanisms of this SARS-CoV-2 neuro aggressiveness remain unclear, so it is of great significance to explore the neurological effects of SARS-CoV-2 infection. To facilitate clinicians to timely recognize the manifestations of COVID-19 patients with neurological injury and timely treatment, the author hereby reviews the latest research progress in the possible pathways, clinical manifestations, and pathogenesis of COVID-19 patients with nerve injury.
新型冠状病毒19(COVID-19)是最新且最严重的疫情,由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起。除了引发呼吸道症状外,SARS-CoV-2还会对神经系统产生严重影响。临床上,已有报道称COVID-19患者症状多样,从轻度味觉减退和嗅觉减退到严重的神经紊乱,如脑病、脑炎、中风和癫痫综合征。然而,SARS-CoV-2神经侵袭性的病理机制仍不清楚,因此探索SARS-CoV-2感染的神经学影响具有重要意义。为便于临床医生及时识别COVID-19神经损伤患者的表现并及时治疗,作者特此综述COVID-19神经损伤患者在可能途径、临床表现及发病机制方面的最新研究进展。