IJERPH, Vol. 18, Pages 3673: Mild to Severe Neurological Manifestations of COVID-19: Cases Reports

IJERPH, Vol. 18, Pages 3673: Mild to Severe Neurological Manifestations of COVID-19: Cases Reports International Journal of Environmental Research and Public Health doi: 10.3390/ijerph18073673 Authors: Gabriele Melegari Veronica Rivi Gabriele Zelent Vincenzo Nasillo Elena De Santis Alessandra Melegari Claudia Bevilacqua Michele Zoli Stefano Meletti Alberto Barbieri The main focus of Coronavirus disease 2019 (COVID-19) infection is pulmonary complications through virus-related neurological manifestations, ranging from mild to severe, such as encephalitis, cerebral thrombosis, neurocognitive (dementia-like) syndrome, and delirium. The hospital screening procedures for quickly recognizing neurological manifestations of COVID-19 are often complicated by other coexisting symptoms and can be obscured by the deep sedation procedures required for critically ill patients. Here, we present two different case-reports of COVID-19 patients, describing neurological complications, diagnostic imaging such as olfactory bulb damage (a mild and unclear underestimated complication) and a severe and sudden thrombotic stroke complicated with hemorrhage with a low-level cytokine storm and respiratory symptom resolution. We discuss the possible mechanisms of virus entrance, together with the causes of COVID-19-related encephalitis, olfactory bulb damage, ischemic stroke, and intracranial hemorrhage.
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Case Report Source Type: research