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Neurological issues in children with COVID-19
Jieru E Lin1, Arsenoi Asfour1, Taylor B Sewell2
1Department of Neurology, Division of Child Neurology, Columbia University Irving Medical Center, New York, NY 10032, United States; Department of Pediatrics, Columbia University Irving Medical Center, Morgan Stanley Children's Hospital, New York, NY 10032, United States.
Children can experience severe neurological complications from COVID-19, including multisystem inflammatory syndrome (MIS-C). This review examines pediatric neurological conditions, mechanisms, and long-term effects of coronavirus disease 2019.
Area of Science:
- Pediatric Neurology
- Infectious Diseases
- Neuroscience
Background:
- Coronavirus disease 2019 (COVID-19) typically presents mildly in children but can cause severe complications.
- Neurological symptoms, though more common in adults, are increasingly reported in pediatric COVID-19 cases.
- Multisystem inflammatory syndrome in children (MIS-C) is a serious condition associated with COVID-19.
Purpose of the Study:
- To provide a concise overview of neurological conditions in children with COVID-19.
- To explore potential mechanisms underlying these neurological complications.
- To discuss the long-term implications of COVID-19 on pediatric neurological health.
Main Methods:
- Literature review of existing studies on pediatric COVID-19 and neurological manifestations.
- Analysis of primary data from NewYork-Presbyterian Morgan Stanley Children's Hospital.
- Synthesis of information regarding age-specific presentations and comorbidities.
Main Results:
- Neurological symptoms in pediatric COVID-19 vary widely, from headaches to severe conditions like encephalopathy and stroke.
- Presentations differ based on patient age and pre-existing health conditions.
- Potential mechanisms involve direct viral effects, immune responses, and secondary complications.
Conclusions:
- Neurological complications are a significant concern in pediatric COVID-19, necessitating further research.
- Understanding these complications is crucial for timely diagnosis and management.
- Long-term follow-up is essential to assess the lasting impact of COVID-19 on children's neurological health.
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