Central and peripheral nervous system involvement by COVID-19: A systematic review of the pathophysiology, clinical manifestations, neuropathology, neuroimaging, electrophysiology, and cerebrospinal fluid findings

páginas

Autores:
Guerrero, Juan I.
Barragán, Luis A.
Martínez, Juan D.
Montoya, Juan P.
Peña, Alejandra
Sobrino, Fidel E.
Tovar Spinoza, Zulma
Ghotme Ghotme, Kemel Ahmed
Tipo de recurso:
Fecha de publicación:
2020
Institución:
Universidad de la Sabana
Repositorio:
Repositorio Universidad de la Sabana
Idioma:
eng
OAI Identifier:
oai:intellectum.unisabana.edu.co:10818/44055
Acceso en línea:
http://hdl.handle.net/10818/44055
Palabra clave:
Central and peripheral nervous system
SARS-CoV-2
COVID-19
Pathophysiology
Clinical manifestations
Neuropathology
Neuroimaging
Electrophysiology
Cerebrospinal fluid findings
Rights
License
Attribution-NonCommercial-NoDerivatives 4.0 International
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oai_identifier_str oai:intellectum.unisabana.edu.co:10818/44055
network_acronym_str REPOUSABA2
network_name_str Repositorio Universidad de la Sabana
repository_id_str
dc.title.es_CO.fl_str_mv Central and peripheral nervous system involvement by COVID-19: A systematic review of the pathophysiology, clinical manifestations, neuropathology, neuroimaging, electrophysiology, and cerebrospinal fluid findings
title Central and peripheral nervous system involvement by COVID-19: A systematic review of the pathophysiology, clinical manifestations, neuropathology, neuroimaging, electrophysiology, and cerebrospinal fluid findings
spellingShingle Central and peripheral nervous system involvement by COVID-19: A systematic review of the pathophysiology, clinical manifestations, neuropathology, neuroimaging, electrophysiology, and cerebrospinal fluid findings
Central and peripheral nervous system
SARS-CoV-2
COVID-19
Pathophysiology
Clinical manifestations
Neuropathology
Neuroimaging
Electrophysiology
Cerebrospinal fluid findings
title_short Central and peripheral nervous system involvement by COVID-19: A systematic review of the pathophysiology, clinical manifestations, neuropathology, neuroimaging, electrophysiology, and cerebrospinal fluid findings
title_full Central and peripheral nervous system involvement by COVID-19: A systematic review of the pathophysiology, clinical manifestations, neuropathology, neuroimaging, electrophysiology, and cerebrospinal fluid findings
title_fullStr Central and peripheral nervous system involvement by COVID-19: A systematic review of the pathophysiology, clinical manifestations, neuropathology, neuroimaging, electrophysiology, and cerebrospinal fluid findings
title_full_unstemmed Central and peripheral nervous system involvement by COVID-19: A systematic review of the pathophysiology, clinical manifestations, neuropathology, neuroimaging, electrophysiology, and cerebrospinal fluid findings
title_sort Central and peripheral nervous system involvement by COVID-19: A systematic review of the pathophysiology, clinical manifestations, neuropathology, neuroimaging, electrophysiology, and cerebrospinal fluid findings
dc.creator.fl_str_mv Guerrero, Juan I.
Barragán, Luis A.
Martínez, Juan D.
Montoya, Juan P.
Peña, Alejandra
Sobrino, Fidel E.
Tovar Spinoza, Zulma
Ghotme Ghotme, Kemel Ahmed
dc.contributor.author.none.fl_str_mv Guerrero, Juan I.
Barragán, Luis A.
Martínez, Juan D.
Montoya, Juan P.
Peña, Alejandra
Sobrino, Fidel E.
Tovar Spinoza, Zulma
Ghotme Ghotme, Kemel Ahmed
dc.subject.es_CO.fl_str_mv Central and peripheral nervous system
SARS-CoV-2
COVID-19
Pathophysiology
Clinical manifestations
Neuropathology
Neuroimaging
Electrophysiology
Cerebrospinal fluid findings
topic Central and peripheral nervous system
SARS-CoV-2
COVID-19
Pathophysiology
Clinical manifestations
Neuropathology
Neuroimaging
Electrophysiology
Cerebrospinal fluid findings
description páginas
publishDate 2020
dc.date.accessioned.none.fl_str_mv 11/10/2020 18:38
dc.date.available.none.fl_str_mv 2020-11-10T23:38:57Z
dc.date.issued.none.fl_str_mv 2020-07-24
dc.type.en.fl_str_mv article
dc.type.coarversion.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
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dc.type.hasVersion.es_CO.fl_str_mv publishedVersion
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10818/44055
url http://hdl.handle.net/10818/44055
dc.language.iso.es_CO.fl_str_mv eng
language eng
dc.rights.*.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
http://purl.org/coar/access_right/c_abf2
dc.format.es_CO.fl_str_mv application/pdf
dc.source.es_CO.fl_str_mv Universidad de La Sabana
Intellectum Repositorio Universidad de La Sabana
institution Universidad de la Sabana
bitstream.url.fl_str_mv https://intellectum.unisabana.edu.co/bitstream/10818/44055/2/license_rdf
https://intellectum.unisabana.edu.co/bitstream/10818/44055/3/license.txt
https://intellectum.unisabana.edu.co/bitstream/10818/44055/4/ARTICLES%20INCLUDED%20IN%20NEUROCOVID%20SYSTEMATIC%20REVIEW.pdf
bitstream.checksum.fl_str_mv 4460e5956bc1d1639be9ae6146a50347
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bitstream.checksumAlgorithm.fl_str_mv MD5
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repository.name.fl_str_mv Intellectum Universidad de la Sabana
repository.mail.fl_str_mv contactointellectum@unisabana.edu.co
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spelling Guerrero, Juan I.Barragán, Luis A.Martínez, Juan D.Montoya, Juan P.Peña, AlejandraSobrino, Fidel E.Tovar Spinoza, ZulmaGhotme Ghotme, Kemel Ahmed11/10/2020 18:382020-11-10T23:38:57Z2020-07-24http://hdl.handle.net/10818/44055páginasBackground: SARS-CoV-2 can affect the human brain and other neurological structures. An increasing number of publications report neurological manifestations in patients with COVID-19. However, no studies have comprehensively reviewed the clinical and paraclinical characteristics of the central and peripheral nervous system's involvement in these patients. This study aimed to describe the features of the central and peripheral nervous system involvement by COVID-19 in terms of pathophysiology, clinical manifestations, neuropathology, neuroimaging, electrophysiology, and cerebrospinal fluid findings. Methods: We conducted a comprehensive systematic review of all the original studies reporting patients with neurological involvement by COVID-19, from December 2019 to June 2020, without language restriction. We excluded studies with animal subjects, studies not related to the nervous system, and opinion articles. Data analysis combined descriptive measures, frequency measures, central tendency measures, and dispersion measures for all studies reporting neurological conditions and abnormal ancillary tests in patients with confirmed COVID-19. Results: A total of 143 observational and descriptive studies reported central and peripheral nervous system involvement by COVID-19 in 10723 patients. Fifty-one studies described pathophysiologic mechanisms of neurological involvement by COVID-19, 119 focused on clinical manifestations, 4 described neuropathology findings, 62 described neuroimaging findings, 28 electrophysiology findings, and 60 studies reported cerebrospinal fluid results. The reviewed studies reflect a significant prevalence of the nervous system's involvement in patients with COVID-19, ranging from 22.5% to 36.4% among different studies, without mortality rates explicitly associated with neurological involvement by SARS-COV-2. We thoroughly describe the clinical and paraclinical characteristics of neurological involvement in these patients. Conclusions: Our evidence synthesis led to a categorical analysis of the central and peripheral involvement by COVID-19 and provided a comprehensive explanation of the reported pathophysiological mechanisms by which SARS-CoV-2 infection may cause neurological impairment. International collaborative efforts and exhaustive neurological registries will enhance the translational knowledge of COVID-19's CNS and PNS involvement and generate strategies for therapeutic decision-making.application/pdfengAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2Universidad de La SabanaIntellectum Repositorio Universidad de La SabanaCentral and peripheral nervous systemSARS-CoV-2COVID-19PathophysiologyClinical manifestationsNeuropathologyNeuroimagingElectrophysiologyCerebrospinal fluid findingsCentral and peripheral nervous system involvement by COVID-19: A systematic review of the pathophysiology, clinical manifestations, neuropathology, neuroimaging, electrophysiology, and cerebrospinal fluid findingsarticlepublishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805https://intellectum.unisabana.edu.co/bitstream/10818/44055/2/license_rdf4460e5956bc1d1639be9ae6146a50347MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-8498https://intellectum.unisabana.edu.co/bitstream/10818/44055/3/license.txtf52a2cfd4df262e08e9b300d62c85cabMD53ORIGINALARTICLES INCLUDED IN NEUROCOVID SYSTEMATIC REVIEW.pdfARTICLES INCLUDED IN NEUROCOVID SYSTEMATIC REVIEW.pdfVer Articles included in NEUROCOVID systematic reviewapplication/pdf322879https://intellectum.unisabana.edu.co/bitstream/10818/44055/4/ARTICLES%20INCLUDED%20IN%20NEUROCOVID%20SYSTEMATIC%20REVIEW.pdf8d540bea4bc8b399440892b6cc58910aMD5410818/44055oai:intellectum.unisabana.edu.co:10818/440552022-05-10 05:21:51.741Intellectum Universidad de la Sabanacontactointellectum@unisabana.edu.coPGEgcmVsPSJsaWNlbnNlIiBocmVmPSJodHRwOi8vY3JlYXRpdmVjb21tb25zLm9yZy9saWNlbnNlcy9ieS1uYy1uZC8zLjAvIj48aW1nIGFsdD0iTGljZW5jaWEgQ3JlYXRpdmUgQ29tbW9ucyIgc3R5bGU9ImJvcmRlci13aWR0aDowIiBzcmM9Imh0dHA6Ly9pLmNyZWF0aXZlY29tbW9ucy5vcmcvbC9ieS1uYy1uZC8zLjAvODh4MzEucG5nIiAvPjwvYT48YnIgLz5Fc3RlIDxzcGFuIHhtbG5zOmRjdD0iaHR0cDovL3B1cmwub3JnL2RjL3Rlcm1zLyIgaHJlZj0iaHR0cDovL3B1cmwub3JnL2RjL2RjbWl0eXBlL1RleHQiIHJlbD0iZGN0OnR5cGUiPm9icmE8L3NwYW4+IGVzdMOhIGJham8gdW5hIDxhIHJlbD0ibGljZW5zZSIgaHJlZj0iaHR0cDovL2NyZWF0aXZlY29tbW9ucy5vcmcvbGljZW5zZXMvYnktbmMtbmQvMy4wLyI+bGljZW5jaWEgQ3JlYXRpdmUgQ29tbW9ucyBSZWNvbm9jaW1pZW50by1Ob0NvbWVyY2lhbC1TaW5PYnJhRGVyaXZhZGEgMy4wIFVucG9ydGVkPC9hPi4K