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Erschienen in: Neurological Sciences 12/2020

21.10.2020 | COVID-19 | COVID-19 Zur Zeit gratis

Neurological manifestations of COVID-19: a systematic review and meta-analysis of proportions

verfasst von: T. T. Favas, Priya Dev, Rameshwar Nath Chaurasia, Kamlesh Chakravarty, Rahul Mishra, Deepika Joshi, Vijay Nath Mishra, Anand Kumar, Varun Kumar Singh, Manoj Pandey, Abhishek Pathak

Erschienen in: Neurological Sciences | Ausgabe 12/2020

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Abstract

Background

Coronaviruses mainly affect the respiratory system; however, there are reports of SARS-CoV and MERS-CoV causing neurological manifestations. We aimed at discussing the various neurological manifestations of SARS-CoV-2 infection and to estimate the prevalence of each of them.

Methods

We searched the following electronic databases; PubMed, MEDLINE, Scopus, EMBASE, Google Scholar, EBSCO, Web of Science, Cochrane Library, WHO database, and ClinicalTrials.​gov. Relevant MeSH terms for COVID-19 and neurological manifestations were used. Randomized controlled trials, non-randomized controlled trials, case-control studies, cohort studies, cross-sectional studies, case series, and case reports were included in the study. To estimate the overall proportion of each neurological manifestations, the study employed meta-analysis of proportions using a random-effects model.

Results

Pooled prevalence of each neurological manifestations are, smell disturbances (35.8%; 95% CI 21.4–50.2), taste disturbances (38.5%; 95%CI 24.0–53.0), myalgia (19.3%; 95% CI 15.1–23.6), headache (14.7%; 95% CI 10.4–18.9), dizziness (6.1%; 95% CI 3.1–9.2), and syncope (1.8%; 95% CI 0.9–4.6). Pooled prevalence of acute cerebrovascular disease was (2.3%; 95%CI 1.0–3.6), of which majority were ischaemic stroke (2.1%; 95% CI 0.9–3.3), followed by haemorrhagic stroke (0.4%; 95% CI 0.2–0.6), and cerebral venous thrombosis (0.3%; 95% CI 0.1–0.6).

Conclusions

Neurological symptoms are common in SARS-CoV-2 infection, and from the large number of cases reported from all over the world daily, the prevalence of neurological features might increase again. Identifying some neurological manifestations like smell and taste disturbances can be used to screen patients with COVID-19 so that early identification and isolation is possible.
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Metadaten
Titel
Neurological manifestations of COVID-19: a systematic review and meta-analysis of proportions
verfasst von
T. T. Favas
Priya Dev
Rameshwar Nath Chaurasia
Kamlesh Chakravarty
Rahul Mishra
Deepika Joshi
Vijay Nath Mishra
Anand Kumar
Varun Kumar Singh
Manoj Pandey
Abhishek Pathak
Publikationsdatum
21.10.2020
Verlag
Springer International Publishing
Schlagwort
COVID-19
Erschienen in
Neurological Sciences / Ausgabe 12/2020
Print ISSN: 1590-1874
Elektronische ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-020-04801-y

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