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A Systematic Review of Neurological Complications in Pregnant Women With COVID-19
Mihirkumar P Parmar1, Ritik Kathal2, Sravani Bhavanam3
1Internal Medicine, GMERS Medical College and Hospital, Vadnagar, IND.
Insights
Neurologic complications affect pregnant women with COVID-19, impacting both central and peripheral nervous systems. Early detection and management of these neurological issues during pregnancy are crucial.
Area of Science:
- Neurology
- Infectious Diseases
- Maternal-Fetal Medicine
Background:
- Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, presents significant global health challenges.
- Neurological manifestations are recognized in the general COVID-19 population, but data on pregnant women are limited.
Purpose of the Study:
- To review and summarize existing literature on neurological conditions in pregnant women diagnosed with SARS-CoV-2 infection.
- To understand the spectrum and frequency of neurological impacts in this specific demographic.
Main Methods:
- A systematic review of 15 selected studies (case reports, retrospective, prospective, editorials) meeting inclusion criteria.
- Analysis focused on pregnant women with confirmed SARS-CoV-2 and a diagnosed neurological condition.
Main Results:
- Neurological conditions affected both central and peripheral nervous systems equally.
- Identified conditions included Guillain-Barré syndrome, vestibulocochlear neuritis, eclampsia-like conditions, and other neurological diseases.
- Median gestational age at presentation was 34 weeks, with a median maternal age of 32.5 years.
Conclusions:
- COVID-19 can lead to diverse neurological complications in pregnant individuals.
- This review highlights the importance of considering neurological assessments in pregnant women with SARS-CoV-2.
- Further research is needed to fully elucidate the impact and management strategies for these conditions.
Abstract:
Coronavirus disease 2019 (COVID-19), which is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has killed millions of people around the world so far and has turned into a disaster for people and healthcare systems. Neurological problems are often seen in people with COVID-19 in the general population, but it is unclear how common they are in pregnant women. This study provides a summary of studies on pregnant women with proven SARS-CoV-2 infection and a particular neurologic diagnosis from different parts of the world. After applying the inclusion and exclusion criteria, a total of 15 papers were assessed to create this review article. Based on our findings, the peripheral and central nervous systems were both equally impacted: Guillain-Barré syndrome (GBS, n=1), bifacial weakness, paresthesia, and vestibulocochlear neuritis (n=1), eclampsia types (n=2), and neurological disease (n=2); case reports, retrospective studies, editorials, and prospective observational studies were included. The median gestational age was 34 (30-36.5) weeks, and the median maternal age was 32.5 (25-35) years. Given the number of reports of neurologic problems associated with COVID-19 in the general community, our findings might be overstated, and we chose the ones that fit our criteria. We hope that this review helps in the early detection and management of neurological diseases during pregnancy.
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