دورية أكاديمية

Should we expect neurological symptoms in the SARS-CoV-2 epidemic?

التفاصيل البيبلوغرافية
العنوان: Should we expect neurological symptoms in the SARS-CoV-2 epidemic?
عنوان ترانسليتريتد: ¿Es esperable que haya cuadros neurológicos por la pandemia por SARS-CoV-2?
المؤلفون: Matías-Guiu J; Servicio de Neurología, Instituto de Neurociencias, Hospital Clínico San Carlos, San Carlos, IdISSC, Madrid, España. Electronic address: neurol.hcsc@salud.madrid.org., Gomez-Pinedo U; Servicio de Neurología, Instituto de Neurociencias, Hospital Clínico San Carlos, San Carlos, IdISSC, Madrid, España., Montero-Escribano P; Servicio de Neurología, Instituto de Neurociencias, Hospital Clínico San Carlos, San Carlos, IdISSC, Madrid, España., Gomez-Iglesias P; Servicio de Neurología, Instituto de Neurociencias, Hospital Clínico San Carlos, San Carlos, IdISSC, Madrid, España., Porta-Etessam J; Servicio de Neurología, Instituto de Neurociencias, Hospital Clínico San Carlos, San Carlos, IdISSC, Madrid, España., Matias-Guiu JA; Servicio de Neurología, Instituto de Neurociencias, Hospital Clínico San Carlos, San Carlos, IdISSC, Madrid, España.
المصدر: Neurologia [Neurologia (Engl Ed)] 2020 Apr; Vol. 35 (3), pp. 170-175. Date of Electronic Publication: 2020 Apr 06.
نوع المنشور: Journal Article; Review
اللغة: English; Spanish; Castilian
بيانات الدورية: Publisher: Elsevier España Country of Publication: Spain NLM ID: 101778590 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2173-5808 (Electronic) Linking ISSN: 21735808 NLM ISO Abbreviation: Neurologia (Engl Ed) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Barcelona] : Elsevier España
مواضيع طبية MeSH: Central Nervous System/*virology , Coronavirus Infections/*physiopathology , Pneumonia, Viral/*physiopathology, Animals ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/complications ; Disease Models, Animal ; Humans ; Mice ; Pandemics ; Pneumonia, Viral/complications ; SARS-CoV-2
مستخلص: Introduction: There is growing evidence that SARS-CoV-2 can gain access to the central nervous system (CNS). We revise the literature on coronavirus infection of the CNS associated with neurological diseases.
Development: Neurological symptoms were rarely reported in the SARS-CoV and MERS-CoV epidemics, although isolated cases were described. There are also reports of cases of neurological symptoms associated with CoV-OC43 and CoV-229E infection. The presence of neurological lesions, especially demyelinating lesions in the mouse hepatitis virus model, may explain the mechanisms by which coronaviruses enter the CNS, particularly those related with the immune response. This may explain the presence of coronavirus in patients with multiple sclerosis. We review the specific characteristics of SARS-CoV-2 and address the question of whether the high number of cases may be associated with greater CNS involvement.
Conclusion: Although neurological symptoms are not frequent in coronavirus epidemics, the high number of patients with SARS-CoV-2 infection may explain the presence of the virus in the CNS and increase the likelihood of early- or delayed-onset neurological symptoms. Follow-up of patients affected by the SARS-CoV-2 epidemic should include careful assessment of the CNS.
(Copyright © 2020 Sociedad Española de Neurología. Publicado por Elsevier España, S.L.U. All rights reserved.)
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فهرسة مساهمة: Keywords: Central nervous system; Coronavirus; Esclerosis múltiple; MERS-CoV; Mouse hepatitis virus; Multiple sclerosis; Neurological symptoms; SARS-CoV; SARS-CoV-2; Sistema nervioso central; Síntomas neurológicos; Virus murino de la hepatitis
تواريخ الأحداث: Date Created: 20200418 Date Completed: 20200504 Latest Revision: 20210527
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC7136883
DOI: 10.1016/j.nrl.2020.03.001
PMID: 32299636
قاعدة البيانات: MEDLINE
الوصف
تدمد:2173-5808
DOI:10.1016/j.nrl.2020.03.001