在COVID-19中神经学的参与:一项基于医院的研究
Hadi Montazerlotfelahi1, Mahsa Norouzi2, Forough Askarimoghaddam2
1Department of Pediatric Neurology, Imam Ali Hospital, Faculty of Medicine, Alborz University of medical sciences, Karaj, Iran.
Iranian journal of child neurology
|August 28, 2023
概括
超过91%的COVID-19患者经历了疲劳和头痛等神经症状. 阳性热素,高白细胞计数和呼吸系统疾病史预测了神经症状.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 内部医学 内部医学
背景情况:
- SARS-CoV-2 (COVID-19) 流行病给全球健康带来了重大挑战.
- 除了肺部问题之外,COVID-19还表现出各种肺外表现,包括神经复杂症.
- 了解这些神经效应及其预测因素对于患者管理至关重要.
研究的目的:
- 为了调查COVID-19患者的神经表现的频率.
- 为了确定与COVID-19患者的神经症状相关的风险因素.
主要方法:
- 进行了一项回顾性,描述性研究.
- 分析了95名COVID-19确诊患者和神经疾病患者的数据.
- 信息包括人口统计,并发症,神经症状/征兆和实验室发现.
主要成果:
- 神经症状很普遍,在91.6%的患者中报告 (例如,疲劳,头痛,头).
- 神经症状发生在10.5%的患者身上,并指出了步态障碍和脑血管事故.
- 阳性热素 (OR=21),高白细胞计数 (OR=20.75) 和呼吸系统疾病史 (OR=7.42) 是神经症状的显著预测因素.
结论:
- 神经症状在COVID-19患者中非常常见.
- 特定的临床和实验室标志物,包括阳性素,升高的白血球和先前的呼吸系统疾病,强烈预测神经症状的发生.
相关概念视频
Aneurysm II: Clinical Manifestations and Diagnostic Studies
10
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
10
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
10
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
10


