长期COVID患者的大脑和认知变化与感染恢复的对照受试者相比
Víctor M Serrano Del Pueblo1, Gemma Serrano-Heras2, Carlos M Romero Sánchez3
1Faculty of Medicine, Albacete, University of Castilla-La Mancha, 02008 Albacete, Spain.
Brain : a journal of neurology
|April 2, 2024
概括
长期的COVID会导致神经问题,许多患者会经历诸如记忆丧失之类的认知缺陷. 脑部成像显示了与这些长期COVID症状相关的白质变化.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 传染性疾病 传染性疾病
背景情况:
- 长期COVID是一种SARS-CoV-2感染后的持续性疾病,经常涉及神经症状.
- 负责长期COVID的神经心理障碍的潜在大脑变化尚未得到充分理解.
研究的目的:
- 详细介绍长期COVID患者的认知特征.
- 为了绘制长期COVID患者的大脑变化.
- 调查认知缺陷与大脑变化之间的关联.
主要方法:
- 招募了83名患有COVID-19后持续的神经症状的患者和22名康复的对照.
- 进行临床采访,标准化神经心理测试和结构磁共振成像 (MRI).
- 进行灰质形态测量和全脑结构连接性分析.
主要成果:
- 与对照组相比,长期COVID患者的全球认知功能显著下降.
- 48%的长期COVID患者出现了情节性记忆缺陷;27%的患者也表现出整体认知,注意力,工作记忆,处理速度和口语流性受损.
- 核磁共振扫描显示,患者的左后上时线皮层厚度减少,白质异常普遍存在 (较低的微分异性,较高的辐射扩散性).
结论:
- 神经长期COVID与明显的大脑变化有关,特别是在白质中.
- 变化的白质连接性与情节性记忆,整体认知,注意力和口语流性受损相关.
- 这些发现将特定的大脑变化与长期COVID中的认知功能障碍联系起来.
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