Neurological Implications of COVID-19 Infections
Neurological Implications of COVID-19 Infections
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DOI：
10.1007/s12028-020-00978-4
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发表时间：
2020-04-28
影响因子：
3.5
通讯作者：
Menon, David K.
中科院分区：
文献类型：
--
作者：
Needham, Edward J.;Chou, Sherry H. -Y.;Menon, David K.
新冠肺炎大流行的规模将导致实质性的神经系统疾病，无论是通过直接感染(罕见)、副感染并发症(不太罕见)，还是更普遍的危重疾病(常见)。在此，我们提出了对新冠肺炎神经系统并发症进行严格诊断和数据收集的重要性；我们敦促对不存在的神经系统疾病的过度诊断持谨慎态度，但同样强烈鼓励对此类疾病进行协同监测。除了新冠肺炎感染的直接神经系统并发症外，神经科患者还面临结构限制(如重症监护床位的数量)以及考虑到医院内新冠肺炎感染的风险而不愿接受某些必要药物治疗的伤害风险。因此，我们还概述了在大流行背景下对神经炎症性疾病患者的具体管理。这篇文章描述了新冠肺炎对神经系统疾病的影响，并宣传了神经危重护理学会寻求调整数据元素的国际数据收集合作。
The magnitude of the COVID-19 pandemic will result in substantial neurological disease, whether through direct infection (rare), para-infectious complications (less rare), or critical illness more generally (common). Here, we raise the importance of stringent diagnosis and data collection regarding neurological complications of COVID-19; we urge caution in the over-diagnosis of neurological disease where it does not exist, but equally strongly encourage the concerted surveillance for such conditions. Additional to the direct neurological complications of COVID-19 infection, neurological patients are at risk of harm from both structural limitations (such as number of intensive care beds), and a hesitancy to treat with certain necessary medications given risk of nosocomial COVID-19 infection. We therefore also outline the specific management of patients with neuroinflammatory diseases in the context of the pandemic. This article describes the implications of COVID-19 on neurological disease and advertises the Neurocritical Care Society's international data collection collaborative that seeks to align data elements.