This article was originally published here<\/p>\n
Clin Neurol Neurosurg. 2020 Nov 1:106349. doi: 10.1016\/j.clineuro.2020.106349. Online ahead of print.<\/p>\n
ABSTRACT<\/p>\n
BACKGROUND: Patients with chronic diseases likely develop severe 2019 coronavirus disease (COVID-19). However, little is known about the effects of COVID-19 on patients with neurological disorders. We conducted a systematic review to evaluate the severity of COVID-19 and its effect on neurological symptoms in patients with preexisting neurological disorder and COVID-19.<\/p>\n
METHODS: We searched the MEDLINE (PubMed) and medRxiv databases for reports of patients with both preexisting neurological disorders and COVID-19. Studies reporting data on changes in the symptoms of preexisting neurological disorders and\/or the severity of COVID-19 were included.<\/p>\n
RESULTS: Twenty-six articles with 2278 patients with preexisting neurological disorder and COVID-19 were identified. Of 232 patients, 74 (31.9 %) showed exacerbation of preexisting neurological symptoms of dementia (55\/92; 59.5 %), Parkinsons disease (10\/17; 58.8 %), epilepsy (1\/1; 100 %), and unspecified neurological disorders (8\/106; 7.5 %). Of 2168 patients, 478 (22.0 %) showed severe COVID-19 course. These included patients with cerebrovascular disease (86\/445; 19.3 %), dementia (70\/316; 22.2 %), Parkinsons disease (25\/214; 11.7 %), multiple sclerosis (28\/71; 39.4 %), spinal cord injury (5\/7; 71.4 %), epilepsy (10\/98; 10.2 %) and unspecified neurological disorders (254\/1011; 25 %).<\/p>\n
CONCLUSIONS: Patients with preexisting neurological disorders and COVID-19 may develop exacerbation of neurological symptoms and severe COVID-19. Clinicians should be aware of the risk of symptom exacerbation and severe COVID-19 in patients with preexisting neurological disease and should focus on the prevention and early care of COVID-19.<\/p>\n
PMID:33172719 | DOI:10.1016\/j.clineuro.2020.106349<\/p>\n
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\nExacerbation of neurological symptoms and COVID-19 severity in patients with preexisting neurological disorders and COVID-19: A systematic review -...<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"