2022, Number 4
Neurological affectations associated to SARS-CoV-2
Language: Spanish
References: 28
Page: 770-781
PDF size: 404.43 Kb.
ABSTRACT
Introduction: Coronaviruses are causative agents of respiratory, hepatic, intestinal and neurological diseases. The neurological implications caused by acute respiratory syndrome due to coronavirus 2 have raised several opinions. The clinical involvement and pathophysiologic mechanisms related to neurological complications in patients with COVID-19 are currently poorly understood.Objective: to describe the neurological involvement associated to SARS-CoV-2 according to its pathophysiopathogenic basis.
Methods: a search was carried out, mainly in PubMed, with the descriptors COVID-19, SARS-CoV-2 and neuro. Scientific journals on the Internet and official Cuban and foreign press media were consulted. The manual published by the Spanish Society of Neurology in April 2020 was reviewed. The analysis-synthesis and historical-logical methods were used when associating the historical neurological affectations of the different coronaviruses with the current one and the deductive inductive method.
Conclusions: the most frequent neurological affectations associated with SARS-CoV-2 are myalgias, headaches, cerebrovascular disease, encephalopathies, encephalitis, Guillain-Barré syndrome, disorders of the senses and consciousness and weakness; they are related to the triggering of inflammatory processes, with alterations caused to the respiratory centers of the brainstem, with mechanisms of muscular damage and with its neuroinvasive potential.
REFERENCES
Xu X, Chen P, Wang J, Feng J, Zhou H, Li X, et al. Evolution of the novel coronavirus from the ongoing Wuhan outbreak and modeling of its spike protein for risk of human transmission. Sci China Life Sci [Internet]. 2020 [citado 16/05/2020];63(3):457-460. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7089049/2. . https://dx.doi.org/10.1007/s11427-020-1637-5
Titov A, Petukhov A, Staliarova A, Motorin D, Bulatov E, Shuvalov O, et al. The biological basis and clinical symptoms of CAR-T therapy-associated toxicites. Cell Death Dis [Internet]. 2018 [citado 16/05/2020];9(9):897. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6123453/5. . https://dx.doi.org/10.1038/s41419-018-0918-x
Mehta P, McAuley DF, Brown M, Sanchez E, Tattersall RS, Manson JJ, et al. COVID-19: consider cytokine storm syndromes and immunosuppression. Lancet [Internet]. 2020 [citado 16/05/2020];395(10229):1033-1034. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7270045/8. . https://dx.doi.org/10.1016/S0140-6736(20)30628-0
Li Y, Fu L, Gonzales DM, Lavi E. Coronavirus Neurovirulence Correlates with the Ability of the Virus To Induce Proinflammatory Cytokine Signals from Astrocytes and Microglia. J Virol [Internet]. 2004 [citado 16/05/2020];78(7):3398-3406. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC371061/9. . https://dx.doi.org/10.1128/JVI.78.7.3398-3406.2004
Steardo L, Steardo LJr, Zorec R, Verkhratsky A. Neuroinfeccion may contribute to pathophysiology and clinical manifestations of COVID-19. Acta Physiol (Oxf) [Internet]. 2020 [citado 16/05/2020];229(3):e13473. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7228251/10. . https://doi.org/10.1111/apha.13473
Baig AM, Khaleeq A, Ali U, Syeda H. Evidence of the COVID-19 Virus Targeting the CNS: Tissue Distribution, Host-Virus Interaction, and Proposed Neurotropic Mechanisms. ACS Chem Neurosci [Internet]. 2020 [citado 16/05/2020];11(7):995-998. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7094171/11. . https://dx.doi.org/10.1021/acschemneuro.0c00122
Netland J, Meyerholz DK, Moore S, Cassell M, Perlman S. Severe Acute Respiratory Syndrome Coronavirus Infection Causes Neuronal Death in the Absence of Encephalitis in Mice Transgenic for Human ACE2. J Virol [Internet]. 2008 [citado 16/05/2020];82(15):7264-7275. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2493326/12. . https://doi.org/10.1128/jvi.00737-08
Li YC, Bai WZ, Hashikawa T. The neuroinvasive potential of SARS-CoV2 may play a role in the respiratory failure of COVID-19 patients. J Med Virol [Internet]. 2020 [citado 21/09/2020];92(6):552-555. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7228394/13. . https://doi.org/10.1002/jmv.25728
Lang ZW, Zhang LJ, Zhang SJ, Meng X, Li JQ, Song CZ, et al. A clinicopathological study of three cases of severe acute respiratory syndrome (SARS). Pathology [Internet]. 2003 [citado 16/05/2020];35(6):526-531. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7131316/17. . https://doi.org/10.1080/00313020310001619118
Mao L, Jim H, Wang M, Hu Y, Chen S, He Q, et al. Neurological manifestations of hospitalized patients with Coronavirus Disease 2019 in Wuhan, China. JAMA Neurol [Internet]. 2020 [citado 16/05/2020];77(6):683-690. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7149362/18. . https://doi.org/10.1001/jamaneurol.2020.1127
20minutos. Coronavirus. Regional e Ibima lideran un estudio para conocer afectación neurológica en pacientes con COVID-19 [Internet]. España: 20 Minutos Editora, S.L.; 2020 [citado 16/05/2020]. Disponible en: https://www.20minutos.es/noticia/4256165/0/coronavirus-regional-e-ibima-lideran-un-estudio-para-conocer-afectacion-neurologica-en-pacientes-con-covid-19/19.
Lechien JR, Chiesa-Estomba CM, De Siati DR, Horoi M, Le Bon SD, Rodriguez A, et al. Olfactory and gustatory dysfunctions as a clinical presentation of mild-to-moderate forms of the coronavirus disease (COVID-19): a multicenter European study. Eur Arch Otorhinolaryngol [Internet]. 2020 [citado 16/05/2020];277(8):2251-2261. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7134551/21. . https://doi.org/10.1007/s00405-020-05965-1
Moriguchi T, Harii N, Goto J, Harada D, Sugawara H, Takamino J, et al. A first Case of Meningitis/Encephalitis associated with SARS-Coronavirus-2. Int J Infect Dis [Internet]. 2020 [citado 16/05/2020];94:55-58. Disponible en: https://www.sciencedirect.com/science/article/pii/S120197122030195824. . https://doi.org/10.1016/j.ijid.2020.03.062
Poyiadji N, Shahin G, Noujaim D, Stone M, Patel S, Griffith B. COVID-19-associated Acute Hemorrhagic Necrotizing Encephalopathy: Imaging Features. Radiology [Internet]. 2020 [citado 16/05/2020];296(2):E119-E120. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233386/25. . https://doi.org/10.1148/radiol.2020201187
Zhao H, Shen D, Zhou H, Liu J, Chen S. Guillain-Barré syndrome associated with SARS-CoV-2 infection: causality or coincidence? Lancet Neuro [Internet]. 2020 [citado 16/05/2020];19(5):383-384. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7176927/26. . https://dx.doi.org/10.1016/S1474-4422(20)30109-5
Toscano G, Palmerini F, Ravaglia S, Ruiz L, Invernizzi P, Cuzzoni MG, et al. Guillain-Barré syndrome associated with SARS-CoV-2. N Engl J Med [Internet]. 2020 [citado 16/05/2020];382(26):2574-2577. Disponible en: https://www.nejm.org/doi/pdf/10.1056/NEJMc200919127. . https://doi.org/10.1056/NEJMc2009191