冠状病毒的神经并发症:综述

M. Sahraei, H. Sahraei
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引用次数: 0

摘要

在由冠状病毒引起的COVID-19疫情爆发后,有神经系统并发症的报告,表明病毒感染可能具有涉及神经系统的风险。中风、脑病、中度至重度头痛、嗅觉缺失和语言障碍、幻觉和抑郁是最常见的神经系统并发症。新冠肺炎最重要的神经系统并发症是嗅觉缺失,这是由嗅觉支持细胞感染引起的。在重症监护病房住院的患者中观察到幻觉和抑郁,这主要与一般炎症反应有关。尽管对因COVID-19死亡的人的脑尸检表明,可以在脑组织中检测到该病毒。研究表明,病毒感染只在血脑屏障的血管部分被检测到。关于大脑中冠状病毒感染的最重要的发现可能是COVID-19患者的星形胶质细胞和小胶质细胞的激活,这会扩张脑干中的脑动脉,使杀伤性T细胞进入脑组织,并在大脑的这一部分产生细胞毒性作用。本综述的重点是与COVID-19相关的神经系统并发症以及这些并发症的可能机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Neurological Complications of Corona Virus: A Mini-Review
Following the outbreak of COVID-19 disease, which is caused by the coronavirus, there were reports of neurological complications, indicating that virus infection may have risks involving the nervous system. Stroke, encephalopathy, moderate to severe headaches, anosmia and dysgeusia, hallucination, and depression were the most neurological complications reported. The most important neurological complication of COVID-19 is anosmia, which is caused by the infection of the olfactory support cells. Hallucination and depression have been observed in those admitted to the intensive care unit, which is primarily related to general inflammatory reactions. Although brain autopsies of people who have died because of COVID-19 have shown that the virus can be detected in brain tissue. Studies indicate that viral infection has only been detected in the vascular part of the blood-brain-barrier. Perhaps the most critical finding of coronavirus infection in the brain is the activation of astrocytes and microglia in patients with COVID-19, which dilates the cerebral arteries in the brainstem, allows killer T cells to enter brain tissue, and causes cytotoxic effects in this part of the brain. This review focused on the neurological complications associated with COVID-19 and the possible mechanisms underlying these complications.
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