Neurologic Manifestations of COVID-19

Neurological manifestations of novel coronavirus disease (COVID-19) are reported to occur in as much as 37% of the affected patients. These manifestations range from headache and dizziness to altered mental status and consciousness, anosmia, ageusia, sensory disturbances, and stroke. The mechanisms by which the neurological symptoms arise are not yet determined but may either proceed as an indirect consequence of systemic hyperinflammation or result from the direct invasion of the virus to neural and glial cells. The neural invasion can explain both the retrograde pathway of encephalitis and the early manifestation of anosmia by invading the olfactory bulb. Moreover, in the case of attacking the brain stem, it may take part in the early apnea manifestation reported by patients. Additionally, neurotropism of the virus could be the cause of acute hemorrhagic encephalitis. Hyperinflammation can have acute and prolonged effects in the nervous system, such as acute demyelination and predisposition to multiple sclerosis. Moreover, the pro-inflammatory state contributes to hypercoagulation, which in turn could result in cerebrovascular injuries in COVID-19 patients. This chapter would discuss that the neurologic manifestations of the COVID-19 are to be looked at as a multifactorial entangled phenomenon.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:1318

Enthalten in:

Advances in experimental medicine and biology - 1318(2021) vom: 11., Seite 343-353

Sprache:

Englisch

Beteiligte Personen:

Delavari, Farnaz [VerfasserIn]
Varzaneh, Farnaz Najmi [VerfasserIn]
Rezaei, Nima [VerfasserIn]

Links:

Volltext

Themen:

Betacoronavirus
Blood-brain barrier
Brain stem
Central nervous system
Coronavirus infections
Journal Article
Middle East respiratory syndrome
Olfactory bulb
Pandemics
Severe acute respiratory syndrome
Viral diseases
Viral tropism
Virus internalization

Anmerkungen:

Date Completed 12.05.2021

Date Revised 13.12.2021

published: Print

Citation Status MEDLINE

doi:

10.1007/978-3-030-63761-3_20

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM325247730