Cognitive Impairment as a Sequela of COVID-19 : Pathophysiology and Prospects for Treatment

Cognitive impairment has been reported as a potential sequela of COVID-19. Risk factors associated with this impairment include advanced age, severe infection, and prolonged duration of anosmia (loss of smell). Furthermore, COVID-19 has been reported as a risk factor for Alzheimer disease, and even mild infections have been associated with visuospatial cognitive impairments. While multiple pathophysiological mechanisms have been implicated in COVID-19-related cognitive impairment, persistent infection by the SARS-CoV-2 virus is of particular interest due to its potential implications for treatment. Persistent infection could lead to cognitive impairments through mechanisms such as neurotoxicity mediated by spike proteins, neuroinflammation induced by cytokines, and neuronal cell fusion (syncytia). In terms of treatment, the effectiveness of vaccination has been demonstrated in meta-analyses, and drugs like metformin and antiviral agents hold promise.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:63

Enthalten in:

Rinsho shinkeigaku = Clinical neurology - 63(2023), 11 vom: 23. Nov., Seite 725-731

Sprache:

Japanisch

Beteiligte Personen:

Shimohata, Takayoshi [VerfasserIn]

Links:

Volltext

Themen:

Alzheimer disease
Antiviral Agents
COVID-19
Cognitive impairment
English Abstract
Journal Article
Persistent infection
Treatment

Anmerkungen:

Date Completed 28.11.2023

Date Revised 28.11.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.5692/clinicalneurol.cn-001902

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363723218