长期COVID不是一种功能神经系统疾病
Todd E Davenport1,2, Svetlana Blitshteyn3,4, Nicola Clague-Baker5
1Department of Physical Therapy, University of the Pacific, Stockton, CA 95211, USA.
Journal of personalized medicine
|August 29, 2024
概括
长期COVID并不是一种功能神经系统疾病 (FND). 证据表明,不同的病理生理机制区分长期COVID和FND,防止不适当的诊断和治疗.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 病理生理学 病理生理学
背景情况:
- 长期COVID是SARS-CoV-2感染的常见后果,涉及复杂的病理生理过程.
- 一些医疗保健专业人员错误地将长期COVID解释为一种心理或功能障碍.
- 这种误解导致了患者的诊断和治疗困惑.
研究的目的:
- 提供临床和科学理由反对将长期COVID归类为功能神经系统疾病 (FND).
- 探索神经衰竭,肌痛性脑膜炎/慢性疲劳综合征 (ME/CFS) 和FND之间的历史联系.
- 根据临床和神经成像发现,区分长期COVID和FND.
主要方法:
- 审查神经衰竭相关疾病的诊断构造的历史发展.
- 检查功能神经障碍 (FND) 的病例定义标准.
- 在FND和长期COVID中比较临床和神经成像发现.
主要成果:
- 与功能神经障碍 (FND) 相比,长期COVID表现出不同的病理生理机制.
- 临床和神经成像发现区分长期COVID和FND.
- 历史诊断结构显示了并行但不同的演变.
结论:
- 将长期COVID归类为功能神经系统疾病是不恰当的.
- 区分病理生理机制和临床发现对于准确诊断至关重要.
- 错误地将长期COVID描述为FND妨碍了适当的患者护理.
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