Neurological Manifestations in Pediatric COVID-19 Patients Hospitalized at King Abdulaziz University Hospital, Jeddah, Saudi Arabia: A Retrospective Study

There are limited data about neurological manifestations in pediatric COVID-19 patients from all over the world, including Saudi Arabia. This study was performed to identify characteristics of pediatric COVID-19 cases with neurologic involvement hospitalized at King Abdulaziz University Hospital (KA...

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Main Authors: Moustafa A. Hegazi, Fajr A. Saeedi, Ali F. Atwah, Mohamed H. Sayed, Asala A. Albeladi, Shahad B. Alyoubi, Razan A. Aljudibi, Shahad M. Alyaslami, Abdullah T. Alkathiry, Abobakr A. Abdelgalil
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Children
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Online Access:https://www.mdpi.com/2227-9067/9/12/1870
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author Moustafa A. Hegazi
Fajr A. Saeedi
Ali F. Atwah
Mohamed H. Sayed
Asala A. Albeladi
Shahad B. Alyoubi
Razan A. Aljudibi
Shahad M. Alyaslami
Abdullah T. Alkathiry
Abobakr A. Abdelgalil
author_facet Moustafa A. Hegazi
Fajr A. Saeedi
Ali F. Atwah
Mohamed H. Sayed
Asala A. Albeladi
Shahad B. Alyoubi
Razan A. Aljudibi
Shahad M. Alyaslami
Abdullah T. Alkathiry
Abobakr A. Abdelgalil
author_sort Moustafa A. Hegazi
collection DOAJ
description There are limited data about neurological manifestations in pediatric COVID-19 patients from all over the world, including Saudi Arabia. This study was performed to identify characteristics of pediatric COVID-19 cases with neurologic involvement hospitalized at King Abdulaziz University Hospital (KAUH), Saudi Arabia. This retrospective cross-sectional study included hospitalized patients aged 0–19 years with confirmed SARS-CoV-2 from April 2020 to February 2022. The required data were retrieved from patients’ medical records. Ninety-four cases were included. The median ages of the studied group, those with neurological manifestations, and those without neurologic manifestations, were 6.5, 11.0, and 5.0 years, respectively. Neurological manifestations occurred in 29 COVID-19 patients (30.9%) with headache and decreased consciousness being the most common recorded manifestations in 8.5% and 6.4% of patients, respectively. Specific neurological manifestations were rare, as only two infants developed encephalopathy with fatal outcome. Most patients with and without neurological manifestations survived. Neuroimaging abnormalities were detected in 8 cases with neurological manifestations. Neurological manifestations were common in 31% of hospitalized pediatric COVID-19 cases. However, most of the neurological manifestations were mild and nonspecific, with headache being the most common one. Specific neurological manifestations were rare; however, pediatric COVID-19 patients, particularly young infants, were at risk of developing severe encephalopathy with fatal outcome.
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spelling doaj.art-b47f7ce9e0e54ffaab91db4cbde301442023-11-24T14:01:10ZengMDPI AGChildren2227-90672022-11-01912187010.3390/children9121870Neurological Manifestations in Pediatric COVID-19 Patients Hospitalized at King Abdulaziz University Hospital, Jeddah, Saudi Arabia: A Retrospective StudyMoustafa A. Hegazi0Fajr A. Saeedi1Ali F. Atwah2Mohamed H. Sayed3Asala A. Albeladi4Shahad B. Alyoubi5Razan A. Aljudibi6Shahad M. Alyaslami7Abdullah T. Alkathiry8Abobakr A. Abdelgalil9Department of Pediatrics, Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah 21589, Saudi ArabiaDepartment of Pediatrics, Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah 21589, Saudi ArabiaDepartment of Pediatrics, Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah 21589, Saudi ArabiaDepartment of Pediatrics, Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah 21589, Saudi ArabiaFaculty of Medicine in Rabigh, King Abdulaziz University, Jeddah 21589, Saudi ArabiaFaculty of Medicine in Rabigh, King Abdulaziz University, Jeddah 21589, Saudi ArabiaFaculty of Medicine in Rabigh, King Abdulaziz University, Jeddah 21589, Saudi ArabiaFaculty of Medicine in Rabigh, King Abdulaziz University, Jeddah 21589, Saudi ArabiaFaculty of Medicine in Rabigh, King Abdulaziz University, Jeddah 21589, Saudi ArabiaDepartment of Pediatrics, Faculty of Medicine, Cairo University, Cairo 12613, EgyptThere are limited data about neurological manifestations in pediatric COVID-19 patients from all over the world, including Saudi Arabia. This study was performed to identify characteristics of pediatric COVID-19 cases with neurologic involvement hospitalized at King Abdulaziz University Hospital (KAUH), Saudi Arabia. This retrospective cross-sectional study included hospitalized patients aged 0–19 years with confirmed SARS-CoV-2 from April 2020 to February 2022. The required data were retrieved from patients’ medical records. Ninety-four cases were included. The median ages of the studied group, those with neurological manifestations, and those without neurologic manifestations, were 6.5, 11.0, and 5.0 years, respectively. Neurological manifestations occurred in 29 COVID-19 patients (30.9%) with headache and decreased consciousness being the most common recorded manifestations in 8.5% and 6.4% of patients, respectively. Specific neurological manifestations were rare, as only two infants developed encephalopathy with fatal outcome. Most patients with and without neurological manifestations survived. Neuroimaging abnormalities were detected in 8 cases with neurological manifestations. Neurological manifestations were common in 31% of hospitalized pediatric COVID-19 cases. However, most of the neurological manifestations were mild and nonspecific, with headache being the most common one. Specific neurological manifestations were rare; however, pediatric COVID-19 patients, particularly young infants, were at risk of developing severe encephalopathy with fatal outcome.https://www.mdpi.com/2227-9067/9/12/1870neurological manifestationsclinical featuresoutcomehospitalized pediatric COVID-19Saudi Arabia
spellingShingle Moustafa A. Hegazi
Fajr A. Saeedi
Ali F. Atwah
Mohamed H. Sayed
Asala A. Albeladi
Shahad B. Alyoubi
Razan A. Aljudibi
Shahad M. Alyaslami
Abdullah T. Alkathiry
Abobakr A. Abdelgalil
Neurological Manifestations in Pediatric COVID-19 Patients Hospitalized at King Abdulaziz University Hospital, Jeddah, Saudi Arabia: A Retrospective Study
Children
neurological manifestations
clinical features
outcome
hospitalized pediatric COVID-19
Saudi Arabia
title Neurological Manifestations in Pediatric COVID-19 Patients Hospitalized at King Abdulaziz University Hospital, Jeddah, Saudi Arabia: A Retrospective Study
title_full Neurological Manifestations in Pediatric COVID-19 Patients Hospitalized at King Abdulaziz University Hospital, Jeddah, Saudi Arabia: A Retrospective Study
title_fullStr Neurological Manifestations in Pediatric COVID-19 Patients Hospitalized at King Abdulaziz University Hospital, Jeddah, Saudi Arabia: A Retrospective Study
title_full_unstemmed Neurological Manifestations in Pediatric COVID-19 Patients Hospitalized at King Abdulaziz University Hospital, Jeddah, Saudi Arabia: A Retrospective Study
title_short Neurological Manifestations in Pediatric COVID-19 Patients Hospitalized at King Abdulaziz University Hospital, Jeddah, Saudi Arabia: A Retrospective Study
title_sort neurological manifestations in pediatric covid 19 patients hospitalized at king abdulaziz university hospital jeddah saudi arabia a retrospective study
topic neurological manifestations
clinical features
outcome
hospitalized pediatric COVID-19
Saudi Arabia
url https://www.mdpi.com/2227-9067/9/12/1870
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