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The Neurologic Manifestations of Coronavirus Disease 2019 Pandemic: A Systemic Review.


ABSTRACT: Objective: Review and integrate the neurologic manifestations of the Coronavirus Disease 2019 (COVID-19) pandemic, to aid medical practitioners who are combating the newly derived infectious disease. Methods: We reviewed the clinical research, consisting of mainly case series, on reported neurologic manifestations of COVID-19. We also reviewed basic studies to understand the mechanism of these neurologic symptoms and signs. Results: We included 79 studies for qualitative synthesis and 63 studies for meta-analysis. The reported neurologic manifestations were olfactory/taste disorders (35.6%), myalgia (18.5%), headache (10.7%), acute cerebral vascular disease (8.1%), dizziness (7.9%), altered mental status (7.8%), seizure (1.5%), encephalitis, neuralgia, ataxia, Guillain-Barre syndrome, Miller Fisher syndrome, intracerebral hemorrhage, polyneuritis cranialis, and dystonic posture. Conclusions: Neurologic manifestations in COVID-19 may alert physicians and medical practitioners to rule in high-risk patients. The increasing incidence of olfactory/taste disorders, myalgia, headache, and acute cerebral vascular disease renders a possibility that COVID-19 could attack the nervous system. The cytokine secretion and bloodstream circulation (viremia) are among the most possible routes into the nervous system.

SUBMITTER: Tsai ST 

PROVIDER: S-EPMC7248254 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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The Neurologic Manifestations of Coronavirus Disease 2019 Pandemic: A Systemic Review.

Tsai Sheng-Ta ST   Lu Ming-Kuei MK   San Shao S   Tsai Chon-Haw CH  

Frontiers in neurology 20200519


<b>Objective:</b> Review and integrate the neurologic manifestations of the Coronavirus Disease 2019 (COVID-19) pandemic, to aid medical practitioners who are combating the newly derived infectious disease. <b>Methods:</b> We reviewed the clinical research, consisting of mainly case series, on reported neurologic manifestations of COVID-19. We also reviewed basic studies to understand the mechanism of these neurologic symptoms and signs. <b>Results:</b> We included 79 studies for qualitative syn  ...[more]

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