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长期新冠的中枢神经系统表现:一项系统综述

Central Nervous System Manifestations of Long COVID: A Systematic Review.

作者信息

Boorle Naga Vijaya Lakshmi Divya, Kurra Nithin C, Gandrakota Nikhila, Modi Karnav, Sudireddy Kavya, Irfan Shayan A, Jain Akhil, Parikh Priyanka A, Jillella Dinesh

机构信息

Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, USA.

Department of Neurology, University of Nebraska Medical Center, Omaha, USA.

出版信息

Cureus. 2025 Apr 30;17(4):e83247. doi: 10.7759/cureus.83247. eCollection 2025 Apr.

Abstract

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) has been one of the most widespread and devastating global pandemics, impacting hundreds of millions of people worldwide. After the cessation of active infection, the disease continues to have a disabling impact due to the persistence of fatigue, brain fog, anxiety, and depression - among the most common symptoms. This study explores the progression of neurological symptoms over 12 months and beyond following an initial diagnosis of COVID-19. Through an electronic search of eligible studies from PubMed, the Cochrane Trial Register, and Google Scholar, 10 studies were included for qualitative analysis. The systematic review highlights the similarities and differences in findings across the included studies. Olfactory dysfunction was prevalent in 0.9%-51% of individuals, and taste impairment was observed in 1.1%-21.3%. At 12 months, anxiety was more prevalent (3.5%-29%) than depression (3.5%-26%). Fatigue was the predominant neurocognitive complaint in 56% of individuals with severe COVID-19. Nearly half of individuals reported sleep difficulties. Memory impairment, followed by headaches and dizziness, also constitutes neurocognitive symptoms reported at 12 months. Our study found that there is a significant neurological burden one year following the diagnosis of COVID-19. Further studies exploring the pathological mechanisms of long-term COVID-19 are necessary to better delineate the mechanisms behind several long-term neurological manifestations of COVID-19.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)一直是全球传播最广、破坏性最大的大流行病之一,影响了全球数亿人。在活动性感染停止后,由于疲劳、脑雾、焦虑和抑郁等持续存在——这些是最常见的症状——该疾病继续产生致残影响。本研究探讨了COVID-19初次诊断后12个月及更长时间内神经症状的进展情况。通过对来自PubMed、Cochrane试验注册库和谷歌学术的符合条件的研究进行电子检索,纳入了10项研究进行定性分析。系统评价突出了纳入研究结果中的异同。嗅觉功能障碍在0.9%-51%的个体中普遍存在,味觉障碍在1.1%-21.3%的个体中被观察到。在12个月时,焦虑比抑郁更普遍(3.5%-29%对3.5%-26%)。疲劳是56%的重症COVID-19患者主要的神经认知主诉。近一半的个体报告有睡眠困难。记忆障碍,其次是头痛和头晕,也是12个月时报告的神经认知症状。我们的研究发现,COVID-19诊断后一年存在显著的神经负担。有必要进一步开展研究以探索长期COVID-19的病理机制,从而更好地阐明COVID-19几种长期神经表现背后的机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b9/12124159/90878fe38ff0/cureus-0017-00000083247-i01.jpg

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