COVID-19的神经和神经肌肉后果
Carol Li1, Monica Verduzco-Gutierrez2
1Department of Rehabilitation Medicine, Long School of Medicine at University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MC 7798, San Antonio, TX 78229, USA; Polytrauma Outpatient Neurorehabilitation Services, Audie L. Murphy VA Medical Center; Polytrauma Rehabilitation Center, P168, 7400 Merton Minter, San Antonio, TX 78229, USA.
概括
由于SARS-CoV-2 (导致COVID-19的病毒) 可能会引起神经系统并发症,这可能导致慢性神经退行问题. 本综述涵盖了这些急性后COVID-19神经病症的病理生理学,症状和治疗方法.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 病毒学 病毒学
背景情况:
- 急性SARS-CoV-2感染与神经系统并发症有关.
- 新出现的证据表明,SARS-CoV-2的急性后续症状可能包括持续的神经问题.
- 这些后续可能源于直接的病毒性神经侵入,自身免疫反应,或触发慢性神经退行过程.
研究的目的:
- 提供SARS-CoV-2感染后急性神经和神经肌肉后果的全面概述.
- 讨论病理生理学,临床表现和与这些疾病相关的并发症.
- 概述当前和潜在的治疗策略,以管理COVID-19后的神经症状.
主要方法:
- 关于SARS-CoV-2和神经系统并发症的现有研究的文献综述.
- 综合有关病理生理学,临床表现和结果的数据.
- 对后急性神经系统损伤的治疗方法的分析.
主要成果:
- 后急性SARS-CoV-2感染可能导致各种神经系统病变.
- 机制包括神经侵入性,自身免疫性,以及对神经退行潜在的贡献.
- 这些并发症与预后较差,功能缺陷和死亡率增加有关.
结论:
- 在SARS-CoV-2感染的后急性阶段,神经系统的后遗症是一个重大问题.
- 了解潜在的病理生理学对于有效的管理至关重要.
- 需要进一步的研究和量身定制的治疗策略来解决COVID-19的长期神经学影响.
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