Neurological findings in patients with COVID-19: a systematic review

https://doi.org/10.19106/JMedSciSI005203202010

Mawaddah Ar Rochmah(1*), Sekar Satiti(2), Ismail Setyopranoto(3), Indra Sari Kusuma Harahap(4), Desin Pambudi Sejahtera(5), Dhite Bayu Nugroho(6), Sri Sutarni(7)

(1) Department of Neurology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
(2) Department of Neurology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
(3) Department of Neurology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
(4) Department of Neurology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
(5) Department of Neurology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
(6) Department of Internal Medicine, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
(7) Department of Neurology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Since the emerging of the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection in Wuhan, China at the end of 2019, the coronavirus disease 2019 (COVID-19) has become pandemic for months. Due to fast increased number of the positive patients with COVID-19, SARS-CoV-2 is considered highly pathogenic virus with various clinical presentations. Apart from the typical respiratory symptoms, neurological complains in COVID-19 involving central and peripheral nervous systems have been reported. This paper aimed to review the neurological findings reported in patients with COVID-19. We qualitatively reviewed studies reporting COVID-19 patient(s) with neurological manifestations according to the recommendations of PRISMA statement.There were twelve studies included in this brief review. We found that patients with neurological findings were reported ranging from symptomatic complain of headache and dizziness to specific neurological diseases/syndromes, such as meningitis/encephalitis, acute cerebrovascular diseases, Guillain-Barré syndrome, and Miller Fisher syndrome. This review suggests the possible neurological involvement in COVID-19. We hope to raise the awareness of the health workers in taking care of the patients with COVID-19 and neurological diseases.

 

 


Keywords


SARS-CoV-2; Covid-19; neurological findings; nervous system;

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References

  1. Dadax Limited. Corona virus. 2020. Available from: https://www.worldometers.info/coronavirus/
  2. Gugus Tugas Pecepatan Penanganan COVID-19. COVID-19. 2020. https://www.covid19.go.id/
  3. Guan W, Ni Z, Hu T, Liang WH, Ou CQ, He JX, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med 2020; 382:1708-20. https://doi.org/10.1056/NEJMoa2002032
  4. Vaira LA, Salzano G, Deiana G, De Riu G. Anosmia and ageusia: common findings in COVID-19 patients. Laryngoscope. 2020. https://doi.org/101002/lary.28692.
  5. Mao L, Jin H, Wang M, Yu E, Chen S, He Q, et al. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurol 2020. E1-E8. https://doi.org/10.1001/jamaneurol.2020.1127
  6. Hutton B, Salanti G, Caldwell DM, Chaimani A, Schmid CH, Cameron C, et al. The PRISMA extension statement for reporting of systematic reviews incorporating network meta-analyses of health care interventions: checklist and explanations. Ann Intern Med 2015; 162(11):777-84. https://www.cebm.net/2009/06/oxford-centre-evidence-based-medicine-levels-evidence-march-2009/
  7. Moriguchi T, Harii N, Goto J, Harada D, Sugarawa H, Takamino J, et al. A first case of meningitis / encephalitis associated with. Int J Infect Dis 2020; 94:55–8. https://doi.org/10.1016/j.ijid.2020.03.062
  8. Ye M, Ren Y, Lv T. Encephalitis as a clinical manifestation of COVID-19. Brain Behav Immun 2020; S0889-1591(20):30465-7. https://doi.org/10.1016/j.bbi.2020.04.017
  9. Duong L, Xu P, Liu A. Meningoencephalitis without respiratory failure in a young female patient with COVID-19 patient in Downtown Los Angeles, early April 2020. Brain Behav Immun 2020; S0889-1591(20):30509-2. https://doi.org/10.1016/j.bbi.2020.04.024
  10. Yin R, Lv T, Yin R, Hospital H, Feng W, Hospital H, et al. Concomitant neurological symptoms observed in a patient diagnosed with coronavirus disease 2019.J Med Virol 2019; 0–1. https://org.org/10.1002/jmv.25888.
  11. Helms J, Kremer S, Merdji H, Clere Jehl R, Schenck M, Kummerlen C, et al. Neurologic features in severe SARS-CoV-2 infection. N Engl J Med 2020; NEJMc2008597 https//doi.org/10.1056/NEJMc2008597
  12. Li Y, Wang M, Zhou Y, Chang J, Xian Y, Mao L, et al. Acute cerebrovascular disease following COVID-19: a single center, retrospective, observational study. Lancet. 2020;19.
  13. Zhao H, Shen D, Zhou H, Liu J, Chen S. Guillain-Barré syndrome associated with SARS-CoV-2 infection: causality or coincidence? Lancet Neurol 2019; 19(5):383–4. http://dx.doi.org/10.1016/S1474-4422(20)30109-5
  14. Toscano G, Palmerini F, Ravaglia S, et al. Guillain-Barré Syndrome associated with SARS-CoV-2. N Engl J Med, 2020.NEJMc2009191. http://dx.doi.org/10.1056/NEJMc2009191
  15. Gutiérrez-ortiz C, Méndez A, Rodrigo-Rey S, San Pedro-Murillo E, Bermerjo-Guerrero L, Gardo Manas R, et al. Miller Fisher syndrome and polyneuritiscranialis in COVID-19. Neurology2020;241. https://dx.doi.org/10.1212/WNL.0000000000009619.
  16. Lu L, Xiong W, Liu D, Liu J, Yang D, Li N, et al. New-onset symptomatic seizure and risk factor in corona virus disease 2019: a retrospective multicenter study. Epilepsia 2020. https://dx.doi.org/10.1111/epi.16524.
  17. Poyiadji N, Shahin G, Noujai D, Stone M, Patel S, Griffith B, et al. COVID-19-associated acute hemorrhagic necrotizing encephalopathy: CT and MRI features. Radiology 2020; 201187. https://dx.doi.org/10.1148/radiol.2020201187
  18. Wang Z, Xu X. scRNA-seq profiling of human testes reveals the presence of the ACE2 receptors target for SARS-CoV-2 infection in spermatogonia, leydig and sertoli cells. Cells 2020; 9(4):920. http://dx.doi.org/10.3390/cells9040920
  19. Hamming I, Timens W, Bulthuis M, Lely AT, Navis GJ, Van Goor H. Tissue distribution of ACE2 protein, the functional receptor for SARS coronavirus. A first step in understanding SARS pathogenesis. J Pathol 2004; 203(2):631–7. https://doi.org/10.1002/path.1570
  20. Li YC, Bai WZ, Hashikawa T. The neuroinvasive potential of SARS-CoV-2 may play role in the respiratory failure of COVID-19 patients. J Med Virol 2020. http://doi.org/10.1002/jmv.25728.
  21. Amiral J, Vissac AM, Seghatcian. COVID-19, induced activation of homeostasis, and immune reactions: Can an auto-immune reaction contribute to the delayed severe complications observed in some patients? TransfusApher Sci 2020; 102804. https://doi.org/10.1016/j.transci.2020.102804
  22. Merad M, Martin JC. Pathological inflammation in patients with COVID-19: a key role for monocytes aand macrophages. Nat Rev Immunol 2020.
  23. Hou H, Wang T, Zhang B, Luo Y, Mao L, Wang F, et al. Detection of IgM and IgG antibodies in patients with coronavirus disease 2019. Clin Trans Immunol 2020; e1136. https://doi.org/10.1002/cti2.1136.
  24. Shen C, Wang Z, Zhao F, Yang Y, Li J, Yuan J, et al. Treatment of 5 critically ill patients with COVID-19 with convalescent plasma. JAMA 2020; 323(16):1582-9.



DOI: https://doi.org/10.19106/JMedSciSI005203202010

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