2019-NCoV: What Every Neurologist Should Know?

2019 novel Corona Virus Epilepsy headache multiple sclerosis neurological manifestations stroke

Journal

Annals of Indian Academy of Neurology
ISSN: 0972-2327
Titre abrégé: Ann Indian Acad Neurol
Pays: India
ID NLM: 101273955

Informations de publication

Date de publication:
Apr 2020
Historique:
received: 27 03 2020
revised: 06 04 2020
accepted: 07 04 2020
entrez: 19 5 2020
pubmed: 19 5 2020
medline: 19 5 2020
Statut: ppublish

Résumé

The 2019 novel Corona Virus pandemic beginning from Wuhan, China primarily affects the respiratory tract but its has impacted clinical practice across a range of specialities including neurology. We review the bearing of the 2019 NCoV infection on neurological practice. Neurological manifestations are less common than respiratory manifestations, yet conspicuous, affecting nearly over a third of hospitalized individuals. These may be classified in to early - headache, dizziness, hyposmia and hypogeusia and late - encephalopathy. Rarely but surely, a very small proportion of infected individuals might present with stroke. Certain neurological conditions, including cerebrovascular disease in both China and Italy and dementia in Italy predispose to infection and more severe manifestations, requiring intensive care unit admission. There is no convincing evidence that the manifestations, course and outcome of various neurological disorders is impacted by 2019 nCoV infection. Concerns of an increased risk of febrile seizures offset by a reduced frequency of infection in the paediatric age group. Individuals with multiple sclerosis might potentially experience both true and pseudorelapses. Besides a direct effect, 2019 nCoV has tremendously affected neurological care by disrupting the continuity of care and the availability of neurological medicines worldwide. Neurologists should respond to this challenge by developing and sustaining innovative methods of providing care as well as alerting the society at large to adopt measures to contain the spread of 2019 nCoV.

Identifiants

pubmed: 32419751
doi: 10.4103/aian.AIAN_210_20
pii: AIAN-23-28
pmc: PMC7213032
doi:

Types de publication

Journal Article

Langues

eng

Pagination

S28-S32

Informations de copyright

Copyright: © 2006 - 2020 Annals of Indian Academy of Neurology.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

Références

Nature. 2020 Mar;579(7798):270-273
pubmed: 32015507
Clin Infect Dis. 2020 Mar 16;:
pubmed: 32176772
JAMA. 2020 Mar 23;:
pubmed: 32203977
J Clin Microbiol. 2006 Jun;44(6):2063-71
pubmed: 16757599
Cureus. 2020 Mar 21;12(3):e7352
pubmed: 32328364
J Pathol. 2004 Jun;203(2):631-7
pubmed: 15141377
N Engl J Med. 2017 Feb 9;376(6):584-594
pubmed: 28177862
Trends Microbiol. 2016 Jun;24(6):490-502
pubmed: 27012512
Clin Infect Dis. 2020 Mar 16;:
pubmed: 32173725
Lancet. 2020 Feb 15;395(10223):507-513
pubmed: 32007143
Health Care Manag Sci. 2020 Mar 7;:
pubmed: 32146554
JAMA. 2020 Feb 7;:
pubmed: 32031570
Radiology. 2020 Mar 31;:201187
pubmed: 32228363
Lancet. 2020 Feb 15;395(10223):497-506
pubmed: 31986264

Auteurs

Nitika Mahajan (N)

Department of Neurology, Dayanand Medical College, Ludhiana, Punjab, India.

Monika Singla (M)

Department of Neurology, Dayanand Medical College, Ludhiana, Punjab, India.

Balveen Singh (B)

Department of Neurology, Dayanand Medical College, Ludhiana, Punjab, India.

Venkatesh Sajja (V)

Department of Neurology, Dayanand Medical College, Ludhiana, Punjab, India.

Parth Bansal (P)

Department of Neurology, Dayanand Medical College, Ludhiana, Punjab, India.

Birinder Paul (B)

Department of Neurology, Dayanand Medical College, Ludhiana, Punjab, India.

Parveen Goel (P)

Department of Neurology, Dayanand Medical College, Ludhiana, Punjab, India.

Rahul Midha (R)

Department of Neurology, Dayanand Medical College, Ludhiana, Punjab, India.

Rajinder Bansal (R)

Department of Neurology, Dayanand Medical College, Ludhiana, Punjab, India.

Gagandeep Singh (G)

Department of Neurology, Dayanand Medical College, Ludhiana, Punjab, India.

Classifications MeSH