在严重急性呼吸道综合征冠状病毒2型感染后报告的神经症状:一个系统的诊断方法
Birgit Ludwig1,2, Matthias Deckert1,2, Nik Krajnc1,2
1Department of Neurology, Medical University of Vienna, Vienna, Austria.
European journal of neurology
|June 12, 2023
概括
在SARS-CoV-2感染后,持续的神经症状如疲劳,认知问题和头痛是常见的. 然而,客观的神经学发现很少见,这表明这些长期COVID投诉的重要心理组成部分.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 越来越多的患者报告SARS-CoV-2感染后的神经症状,促使专门的临床评估.
- 严重急性呼吸道综合征冠状病毒2型 (SARS-CoV-2) 可以导致一系列的后感染性并发症.
研究的目的:
- 系统地评估,诊断和记录可能与之前的SARS-CoV-2感染相关的神经病情.
- 建立一个专门的神经外科诊所,用于COVID-19后的神经症状评估.
主要方法:
- 在2021年5月至2022年4月期间,从156名门诊患者收集前性数据.
- 进行了半标准化采访,神经学检查和全面的诊断工作.
- 对一小组患者进行了神经心理评估.
主要成果:
- 最常见的新发症状包括疲劳 (77.6%),认知障碍 (72.4%) 和头痛 (47.7%).
- 大多数患者 (91.7%) 在临床,电生理学或成像评估中没有表现出客观的神经异常.
- 认知障碍,焦虑,抑郁和体化症状在神经心理评估中很常见.
结论:
- 疲劳,认知障碍和头痛是SARS-CoV-2感染后报告最多的持续性投诉.
- 在出现COVID-19后神经症状的患者中,结构神经学发现是罕见的.
- 流行病的心理影响可能会导致报告的神经和精神病的投诉增加.
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