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Post-discharge persistent headache and smell or taste dysfunction after hospitalisation for COVID-19: a single-centre
1Department of Neurology, University of Health Sciences, Haydarpaşa Numune Training and Research Hospital, Selimiye, Tıbbiye Cd No:23, 34668 Üsküdar, Istanbul, Turkey. tubaags@yahoo.com.
Insights
Persistent headaches after hospitalization for coronavirus disease-19 (COVID-19) were linked to ongoing smell and taste dysfunction. This suggests a common cause for these lingering symptoms in COVID-19 survivors.
Area of Science:
- Neurology
- Infectious Diseases
- Otolaryngology
Background:
- Headache is a common symptom in patients hospitalized with coronavirus disease-19 (COVID-19).
- The persistence of headache and its relationship with other COVID-19 related symptoms require further investigation.
Purpose of the Study:
- To assess the frequency, characteristics, and duration of headaches in hospitalized COVID-19 patients.
- To explore the association between persistent headaches and smell/taste dysfunction post-discharge.
Main Methods:
- A prospective study evaluated 85 hospitalized COVID-19 patients with headaches.
- Neurological assessments were conducted, and patients were followed up via phone 3 months post-discharge to track symptom persistence.
Main Results:
- 20% of patients experienced persistent headaches 3 months after discharge.
- 65.3% reported smell/taste dysfunction, with 25.9% experiencing it long-term.
- Persistent headaches were significantly associated with persistent smell/taste dysfunction (59% vs 6%, p<0.001).
Conclusions:
- A correlation exists between persistent headaches and persistent smell/taste dysfunction in COVID-19 patients.
- This association may indicate shared underlying pathophysiological mechanisms.
- Further research is warranted to elucidate the mechanisms behind these persistent neurological and sensory symptoms.
Objectives:
To evaluate the frequency, characteristics, and persistence of headache in coronavirus disease-19 (COVID-19) patients who are hospitalised and to determine if there is a link between headache and smell and/or taste dysfunction.
Materials And Methods:
In April and May 2020, patients who were hospitalised due to COVID-19 and had headache complaints were evaluated by a neurologist. In addition to clinical COVID-19 features, the characteristics and course of the patients' headaches were evaluated. The patients were contacted by phone 3 months after they were discharged from the hospital to determine the persistence of their symptoms.
Results:
Eighty-five patients were included in the study, 54.1% were female; the mean age was 47.5 ± 13.9 years (between the ages of 21 and 84). Fifty-four patients (65.3%) presented with smell and/or taste dysfunction, and 14 patients (n = 14, 25.9%) still reported that dysfunction 3 months later. Moreover, 17 (20%) still had headaches 3 months after being discharged from the hospital. Persistent smell/taste disorders were significantly (p < 0.001) more frequent in patients with persistent headaches (59%) compared to those without (6%) (p < 0.001).
Conclusion:
In this prospective study in COVID-19 patients presenting with headache upon admission, a correlation between persistent headache 3 months after discharge and persistent smell/taste dysfunction was found that could point to common underlying pathophysiology.
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