COVID-19-Associated Encephalopathy—Case Series and Clinical Considerations

Neurological manifestations of the SARS-CoV-2 infection are present in up to 80% of the affected patients. While the majority of them is benign, in certain patients, viral replication in the central nervous system results in a severe disruption in cognitive function as well as basic life functions....

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Main Authors: Jakub Udzik, Paweł Jakubowski, Małgorzata Niekrasz, Adrian Barczyszyn, Miłosz Parczewski
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/4/981
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author Jakub Udzik
Paweł Jakubowski
Małgorzata Niekrasz
Adrian Barczyszyn
Miłosz Parczewski
author_facet Jakub Udzik
Paweł Jakubowski
Małgorzata Niekrasz
Adrian Barczyszyn
Miłosz Parczewski
author_sort Jakub Udzik
collection DOAJ
description Neurological manifestations of the SARS-CoV-2 infection are present in up to 80% of the affected patients. While the majority of them is benign, in certain patients, viral replication in the central nervous system results in a severe disruption in cognitive function as well as basic life functions. In this case series, the authors present a detailed description of the three SARS-CoV-2 infection cases, which were all complicated by severe encephalopathy. Consecutive neurological status changes were described for each patient with detailed imaging and clinical sequelae. In the discussion, the authors highlight similarities in the course of the disease in presented patients, as well as common features in test results. An effective causal treatment could not be introduced in any of the patients, nor could the progression of the central nervous system (CNS) damage be stopped. The authors hope that the experiences they gathered will help to accelerate the diagnostic and therapeutic process in other patients with COVID-19-associated encephalopathy and result in introducing an effective treatment.
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spelling doaj.art-cd8f1dcfb3d5473e8cbe1be9b6737c642023-11-23T20:29:51ZengMDPI AGJournal of Clinical Medicine2077-03832022-02-0111498110.3390/jcm11040981COVID-19-Associated Encephalopathy—Case Series and Clinical ConsiderationsJakub Udzik0Paweł Jakubowski1Małgorzata Niekrasz2Adrian Barczyszyn3Miłosz Parczewski4Department of Physiology, Pomeranian Medical University in Szczecin, Powstańców Wielkopolskich 72, 70-111 Szczecin, PolandDepartment of Neurosurgery and Neurotraumatology, Samodzielny Publiczny Wojewódzki Szpital Zespolony, Arkońska 4, 71-455 Szczecin, PolandDepartment of Neurology and Cerebral Stroke, Samodzielny Publiczny Wojewódzki Szpital Zespolony, Akrońska 4, 71-455 Szczecin, PolandDepartment of Radiology and Diagnostic Imaging, Samodzielny Publiczny Wojewódzki Szpital Zespolony, Arkońska 4, 71-455 Szczecin, PolandDepartment of Infectious Diseases, Tropical Diseases and Immune Deficiency, Pomeranian Medical University in Szczecin, 71-455 Szczecin, PolandNeurological manifestations of the SARS-CoV-2 infection are present in up to 80% of the affected patients. While the majority of them is benign, in certain patients, viral replication in the central nervous system results in a severe disruption in cognitive function as well as basic life functions. In this case series, the authors present a detailed description of the three SARS-CoV-2 infection cases, which were all complicated by severe encephalopathy. Consecutive neurological status changes were described for each patient with detailed imaging and clinical sequelae. In the discussion, the authors highlight similarities in the course of the disease in presented patients, as well as common features in test results. An effective causal treatment could not be introduced in any of the patients, nor could the progression of the central nervous system (CNS) damage be stopped. The authors hope that the experiences they gathered will help to accelerate the diagnostic and therapeutic process in other patients with COVID-19-associated encephalopathy and result in introducing an effective treatment.https://www.mdpi.com/2077-0383/11/4/981COVID-19covid-associated encephalopathyCOVID-19 neurological complicationsneuroinfection
spellingShingle Jakub Udzik
Paweł Jakubowski
Małgorzata Niekrasz
Adrian Barczyszyn
Miłosz Parczewski
COVID-19-Associated Encephalopathy—Case Series and Clinical Considerations
Journal of Clinical Medicine
COVID-19
covid-associated encephalopathy
COVID-19 neurological complications
neuroinfection
title COVID-19-Associated Encephalopathy—Case Series and Clinical Considerations
title_full COVID-19-Associated Encephalopathy—Case Series and Clinical Considerations
title_fullStr COVID-19-Associated Encephalopathy—Case Series and Clinical Considerations
title_full_unstemmed COVID-19-Associated Encephalopathy—Case Series and Clinical Considerations
title_short COVID-19-Associated Encephalopathy—Case Series and Clinical Considerations
title_sort covid 19 associated encephalopathy case series and clinical considerations
topic COVID-19
covid-associated encephalopathy
COVID-19 neurological complications
neuroinfection
url https://www.mdpi.com/2077-0383/11/4/981
work_keys_str_mv AT jakubudzik covid19associatedencephalopathycaseseriesandclinicalconsiderations
AT pawełjakubowski covid19associatedencephalopathycaseseriesandclinicalconsiderations
AT małgorzataniekrasz covid19associatedencephalopathycaseseriesandclinicalconsiderations
AT adrianbarczyszyn covid19associatedencephalopathycaseseriesandclinicalconsiderations
AT miłoszparczewski covid19associatedencephalopathycaseseriesandclinicalconsiderations