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SARS-CoV-2: Should We Be Concerned about the Nervous System?
Marcus Tulius T Silva1,2, Marco Lima1,3, Abelardo Q-C Araujo1,3
11Brazilian Ministry of Health, Evandro Chagas National Institute of Infectious Diseases (INI), Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.
The COVID-19 pandemic impacts global health and economies. This review examines the potential neurological effects and neuropathogenesis of coronavirus disease 2019 (COVID-19) in patients.
Area of Science:
- Neurology
- Infectious Diseases
- Public Health
Background:
- The COVID-19 pandemic presents significant global health and economic challenges.
- While primarily respiratory, COVID-19 (caused by SARS-CoV-2) can affect multiple organs.
- Neurological manifestations of COVID-19 are underreported but crucial given prior coronavirus disease (CoV) studies.
Purpose of the Study:
- To review the potential neuropathogenesis of SARS-CoV-2.
- To describe the neurological profile of patients with COVID-19.
- To emphasize the importance of recognizing neurological complications.
Main Methods:
- Literature review of existing studies on COVID-19 and neurological aspects.
- Analysis of reported neurological manifestations in COVID-19 patients.
- Examination of potential neurotropic, neuroinvasive, and neurovirulent properties of SARS-CoV-2.
Main Results:
- Previous human CoVs (e.g., SARS-CoV, MERS-CoV) have demonstrated neurotropic, neuroinvasive, and neurovirulent capabilities.
- Neurological symptoms have been documented as complications in prior CoV outbreaks.
- Early reports suggest a range of neurological issues in COVID-19 patients.
Conclusions:
- Physicians must be vigilant for early signs of neurological compromise in COVID-19 patients.
- Clinical protocols are needed to systematically investigate neurological involvement.
- Understanding neuropathogenesis is vital for managing COVID-19 complications.
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