Cerebral and spinal neurological complications in patients with COVID-19: authors’ clinical experience and literature review
| العنوان: | Cerebral and spinal neurological complications in patients with COVID-19: authors’ clinical experience and literature review |
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| المؤلفون: | R.-M. M. Yunko, V.I. Kuts-Karpenko, Nataliya Matolinets, O.-N.А. Bakun, A.V. Paenok, O.Ya. Kobyletskyi, A.M. Netliukh |
| المصدر: | Українська Інтервенційна Нейрорадіологія та Хірургія, Vol 36, Iss 2, Pp 50-59 (2021) |
| بيانات النشر: | NAMS of Ukraine, State Organization "Scientific-Practical Center of Endovascular Neuroradiology, Non-Governmental Organization “All Ukrainian Association of Endovascular Neuroradiology, Shupyk National Healthcare University of Ukraine, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Pediatrics, Neurology, business.industry, Encephalopathy, R895-920, Retrospective cohort study, Disease, medicine.disease, covid-19, lesions of the nervous system, ischemic stroke, Pneumonia, Medical physics. Medical radiology. Nuclear medicine, medicine.anatomical_structure, medicine, Spinal canal, Neurosurgery, business, Polyneuropathy |
| الوصف: | Objective ‒ to highlight the high probability and features of neurological complications in patients with COVID-19 pneumonia.Materials and methods. A retrospective cohort study was done of 57 patients with COVID-19 pneumonia who were treated at the COVID-location of the Department of Vascular and Minimally Invasive Neurosurgery and Neurology of the Clinical Emergency Hospital of Lviv in the period from June 29 to September 28, 2020 (91 day).Results. Out of the 57 patients 14 (24.6 %) were selected by prospective analysis that had a clear association between COVID-19 pneumonia and neurological complications. Neurological complications of COVID-19 were manifested as ischemic stroke in 57.1 % of patients, encephalopathy with convulsions and without seizures ‒ in 35.7 %, polyneuropathy with tetraparesis, secondary purulent-inflammatory lesions of the spine ‒ in 7.2 %. Neurological complications occurred on average (20. 4 ± 6.1) days after the onset of the disease.Conclusions. Lesions of the spine and structures in the spinal canal after coronavirus infection had a significant spread along the axis of the spine and severe course. The largest (57.1 %) was the proportion of ischemic stroke in the structure of neurological complications of COVID-19, which indicated the severity of the coronavirus infection and its aggressive effect on the nervous system. The effectiveness of treatment of COVID-19 neurological complications depends on the urgency of hospitalization of patients, as evidenced by the correlation between favorable treatment outcomes and the time from disease onst to admission to either therapeutic (r = + 0.37) or neurological department (r = +0.32). |
| اللغة: | English |
| تدمد: | 2786-4863 2786-4855 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6e301ee906058d3567f81a70b9fd3558 https://enj.org.ua/index.php/journal/article/view/181 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....6e301ee906058d3567f81a70b9fd3558 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 27864863 27864855 |
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