Article ; Online: Status epilepticus and COVID-19: A systematic review.
2021 Volume 118, Page(s) 107887
Abstract: ... and status epilepticus (SE). In this systematic review, we summarized the available data on clinical ... features, diagnosis, and therapy of COVID-19-related SE.: Methods: We performed a systematic search ... coronavirus Disease (COVID-19) a pandemic. During the first and second waves of the pandemic spread, there ...
Abstract | Purpose: In March 2020, the World Health Organization declared the SARS-CoV-2 infection-related coronavirus Disease (COVID-19) a pandemic. During the first and second waves of the pandemic spread, there have been several reports of COVID-19-associated neurological manifestations, including acute seizures and status epilepticus (SE). In this systematic review, we summarized the available data on clinical features, diagnosis, and therapy of COVID-19-related SE. Methods: We performed a systematic search of the literature to identify data on demographics, clinical, neurophysiological, and neuroradiological data of patients with COVID-19-related SE. We used regression models (linear or logistic) with a stepwise forward method to identify features associated with mortality or severity of SE. Results: Thirty-nine articles were included with a total of 47 cases of SE associated with COVID-19. Age, time between the acute respiratory phase of SARS-CoV-2 infection and SE onset, and hospitalization correlated with a higher SE severity as assessed by quantitative validated scales. Conclusions: SE can be a neurological manifestation of SARS-CoV-2 infection. Although a possible association between SE and COVID-19 has been reported, the exact mechanisms are still not fully understood. Systemic inflammatory syndrome due to cytokine release could play a role in COVID-19-related SE. |
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MeSH term(s) | COVID-19 ; Humans ; Pandemics ; SARS-CoV-2 ; Seizures ; Status Epilepticus/diagnosis ; Status Epilepticus/epidemiology ; Status Epilepticus/etiology |
Language | English |
Publishing date | 2021-03-17 |
Publishing country | United States |
Document type | Journal Article ; Review ; Systematic Review |
ZDB-ID | 2010587-3 |
ISSN | 1525-5069 ; 1525-5050 |
ISSN (online) | 1525-5069 |
ISSN | 1525-5050 |
DOI | 10.1016/j.yebeh.2021.107887 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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