HealthDay News – Patients hospitalized with severe coronavirus 2 infection (SARS-CoV-2) with acute respiratory syndrome have an altered neurological complication, according to a December 9 study published online in Neurology Clinical Practice mental status, fatigue, headache and stroke.
Pria Anand, MD of Boston University School of Medicine and colleagues characterized neurological findings related to SARS-CoV-2 infection in inpatients in an urban US safety net that primarily cares for underserved, low-income, and elderly patients . From April 15 to July 1, 2020, adult patients were identified in the hospital with inpatient neurological or neurocritical counseling or admission. Data were included for 74 patients (51 percent black).
The researchers found that the most common neurological symptoms when presented in the hospital were altered mental status, fatigue, and headache (53, 24 and 18 percent, respectively). Fourteen patients (19 percent) had ischemic strokes, including six from a cardioembolic source; One patient had a transient ischemic attack or an aborted stroke after thrombolysis. Seven patients (9 percent) had primary movement disorders, including five and one with myoclonus and osmotic demyelination syndrome, respectively. Ten hospital deaths were recorded; At discharge, the survivors had a moderate disability (median modified Rankin Scale Score, 4).
“These results show a wide range of causes of acute neurological complications in patients with COVID-19,” the authors write. “The majority of patients did not require intensive care, suggesting that neurological complications are common in both those with moderate COVID-19 and those with severe disease.”
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COVID19 General Neurology