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  1. Article ; Online: A review of pathophysiology and neuropsychiatric manifestations of COVID-19.

    Jasti, Madhu / Nalleballe, Krishna / Dandu, Vasuki / Onteddu, Sanjeeva

    Journal of neurology

    2020  Volume 268, Issue 6, Page(s) 2007–2012

    Abstract: Introduction: The outbreak of coronavirus disease 2019 (COVID-19) has become one of the most serious pandemics of the recent times. Since this pandemic began, there have been numerous reports about the COVID-19 involvement of the nervous system. There ... ...

    Abstract Introduction: The outbreak of coronavirus disease 2019 (COVID-19) has become one of the most serious pandemics of the recent times. Since this pandemic began, there have been numerous reports about the COVID-19 involvement of the nervous system. There have been reports of both direct and indirect involvement of the central and peripheral nervous system by the virus.
    Objective: To review the neuropsychiatric manifestations along with corresponding pathophysiologic mechanisms of nervous system involvement by the COVID-19.
    Background: Since the beginning of the disease in humans in the later part of 2019, the coronavirus disease 2019 (COVID-19) pandemic has rapidly spread across the world with over 2,719,000 reported cases in over 200 countries [World Health Organization. Coronavirus disease 2019 (COVID-19) situation report-96.,]. While patients typically present with fever, shortness of breath, sore throat, and cough, neurologic manifestations have been reported, as well. These include the ones with both direct and indirect involvement of the nervous system. The reported manifestations include anosmia, ageusia, central respiratory failure, stroke, acute inflammatory demyelinating polyneuropathy (AIDP), acute necrotizing hemorrhagic encephalopathy, toxic-metabolic encephalopathy, headache, myalgia, myelitis, ataxia, and various neuropsychiatric manifestations. These data were derived from the published clinical data in various journals and case reports.
    Conclusion: The neurological manifestations of the COVID-19 are varied and the data about this continue to evolve as the pandemic continues to progress.
    MeSH term(s) COVID-19 ; Humans ; Nervous System Diseases/epidemiology ; Nervous System Diseases/etiology ; Pandemics ; SARS-CoV-2 ; Stroke/epidemiology
    Keywords covid19
    Language English
    Publishing date 2020-06-03
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 187050-6
    ISSN 1432-1459 ; 0340-5354 ; 0012-1037 ; 0939-1517 ; 1619-800X
    ISSN (online) 1432-1459
    ISSN 0340-5354 ; 0012-1037 ; 0939-1517 ; 1619-800X
    DOI 10.1007/s00415-020-09950-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A review of pathophysiology and neuropsychiatric manifestations of COVID-19

    Jasti, Madhu / Nalleballe, Krishna / Dandu, Vasuki / Onteddu, Sanjeeva

    Journal of Neurology ; ISSN 0340-5354 1432-1459

    2020  

    Keywords Neurology ; Clinical Neurology ; covid19
    Language English
    Publisher Springer Science and Business Media LLC
    Publishing country us
    Document type Article ; Online
    DOI 10.1007/s00415-020-09950-w
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: COVID-19 in patients with neurological disorders.

    Onteddu, Sanjeeva Reddy / Nalleballe, Krishna / Siddamreddy, Suman / Jasti, Madhu / Kovvuru, Sukanthi / Dandu, Vasuki / Roy, Bhaskar

    Brain, behavior, & immunity - health

    2020  Volume 8, Page(s) 100131

    Keywords covid19
    Language English
    Publishing date 2020-08-25
    Publishing country United States
    Document type Journal Article
    ISSN 2666-3546
    ISSN (online) 2666-3546
    DOI 10.1016/j.bbih.2020.100131
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: A review of pathophysiology and neuropsychiatric manifestations of COVID-19

    Jasti, Madhu / Nalleballe, Krishna / Dandu, Vasuki / Onteddu, Sanjeeva

    J. neurol

    Abstract: INTRODUCTION: The outbreak of coronavirus disease 2019 (COVID-19) has become one of the most serious pandemics of the recent times. Since this pandemic began, there have been numerous reports about the COVID-19 involvement of the nervous system. There ... ...

    Abstract INTRODUCTION: The outbreak of coronavirus disease 2019 (COVID-19) has become one of the most serious pandemics of the recent times. Since this pandemic began, there have been numerous reports about the COVID-19 involvement of the nervous system. There have been reports of both direct and indirect involvement of the central and peripheral nervous system by the virus. OBJECTIVE: To review the neuropsychiatric manifestations along with corresponding pathophysiologic mechanisms of nervous system involvement by the COVID-19. BACKGROUND: Since the beginning of the disease in humans in the later part of 2019, the coronavirus disease 2019 (COVID-19) pandemic has rapidly spread across the world with over 2,719,000 reported cases in over 200 countries [World Health Organization. Coronavirus disease 2019 (COVID-19) situation report-96.,]. While patients typically present with fever, shortness of breath, sore throat, and cough, neurologic manifestations have been reported, as well. These include the ones with both direct and indirect involvement of the nervous system. The reported manifestations include anosmia, ageusia, central respiratory failure, stroke, acute inflammatory demyelinating polyneuropathy (AIDP), acute necrotizing hemorrhagic encephalopathy, toxic-metabolic encephalopathy, headache, myalgia, myelitis, ataxia, and various neuropsychiatric manifestations. These data were derived from the published clinical data in various journals and case reports. CONCLUSION: The neurological manifestations of the COVID-19 are varied and the data about this continue to evolve as the pandemic continues to progress.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #505712
    Database COVID19

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  5. Article: Coronavirus Disease 2019 in Patients With Prior Ischemic Stroke.

    Nalleballe, Krishna / Siddamreddy, Suman / Sheng, Sen / Dandu, Vasuki / Arulprakash, Narenraj / Kovvuru, Sukanthi / Kamran, Mudassar / Jasti, Madhu / Onteddu, Sanjeeva

    Cureus

    2020  Volume 12, Issue 9, Page(s) e10231

    Abstract: Background: It is uncertain if patients with prior ischemic stroke are vulnerable to coronavirus disease 2019 (COVID-19) and its complications.: Methods: We used TriNetX, a global health collaborative clinical research platform with a large global ... ...

    Abstract Background: It is uncertain if patients with prior ischemic stroke are vulnerable to coronavirus disease 2019 (COVID-19) and its complications.
    Methods: We used TriNetX, a global health collaborative clinical research platform with a large global COVID-19 database. COVID-19 infection was identified with a positive lab value for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and related ribonucleic acid (RNA).
    Findings: A total of 604,258 patients with history of ischemic stroke were identified, of which 891 patients (study cohort) were diagnosed with COVID-19. A control cohort with 32,136 patients diagnosed with COVID-19 after January 20
    Keywords covid19
    Language English
    Publishing date 2020-09-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.10231
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: COVID-19 in patients with neurological disorders

    Onteddu, Sanjeeva Reddy / Nalleballe, Krishna / Siddamreddy, Suman / Jasti, Madhu / Kovvuru, Sukanthi / Dandu, Vasuki / Roy, Bhaskar

    Brain Behav Immun Health

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #728445
    Database COVID19

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  7. Article ; Online: COVID-19 in patients with neurological disorders

    Onteddu, Sanjeeva Reddy / Nalleballe, Krishna / Siddamreddy, Suman / Jasti, Madhu / Kovvuru, Sukanthi / Dandu, Vasuki / Roy, Bhaskar

    Brain, Behavior, & Immunity - Health

    2020  Volume 8, Page(s) 100131

    Keywords covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ISSN 2666-3546
    DOI 10.1016/j.bbih.2020.100131
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Continued Underutilization of stroke care during the COVID-19 pandemic.

    Sheng, Sen / Wang, Xixi / Gil Tommee, Carolina / Arulprakash, Naren / Kamran, Mudassar / Shah, Vishank / Jasti, Madhu / Yadala, Sisira / Brown, Aliza / Onteddu, Sanjeeva / Nalleballe, Krishna

    Brain, behavior, & immunity - health

    2021  Volume 15, Page(s) 100274

    Abstract: Objective: This study aims to investigate the utilization of acute ischemic stroke (AIS) services during the Corona Virus Disease 2019 (COVID-19) pandemic. Based on early observations among healthcare utilization on stroke and other healthcare services, ...

    Abstract Objective: This study aims to investigate the utilization of acute ischemic stroke (AIS) services during the Corona Virus Disease 2019 (COVID-19) pandemic. Based on early observations among healthcare utilization on stroke and other healthcare services, we hypothesized that there would be a persistent significant decline in AIS patients presenting to hospitals as the pandemic has progressed for over a year.
    Method: TriNetX, a large research network, is used to collect real-time electronic medical data. Data on utilization of acute ischemic stroke service was collected for the years 2018, 2019, and 2020 for variables including overall stroke volume and the number of patients that received intravenous tissue plasminogen activator (tPA) and mechanical thrombectomy (MT).
    Result: We found a 13.2-15.4% decrease in total number of AIS patients in 2020 (n 77231) compared with the years 2018 and 2019 (n 88948 and 91270 respectively, p ​< ​0.001). In the year 2020 Stroke volume was significantly lower in Q4 comparing to Q1 (Q1 vs Q4, p ​< ​0.01, while there were no significant differences in stroke volume between Quarters 2, 3, and 4 in 2020 (Q2 vs Q3, p ​= ​0.39, Q2 vs Q4, p ​= ​0.61, Q3 vs Q4, p ​= ​0.18). The Proportion of patients receiving tPA in 2020 was significantly lower compared to prior years (5.4% in 2020 vs 6.4% in 2018 and 6.0% in 2019,
    Conclusion: Despite significant alteration in practices to optimize healthcare delivery and mitigate the collateral impact of the pandemic on care for other conditions, a persistent decline in AIS volumes remains. Delayed presentation, fear-of-contagion, reallocation, and poor availability of health care resources are potential contributors. Prospective evaluation and further investigation for these trends is needed.
    Language English
    Publishing date 2021-05-20
    Publishing country United States
    Document type Journal Article
    ISSN 2666-3546
    ISSN (online) 2666-3546
    DOI 10.1016/j.bbih.2021.100274
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: COVID-19 and stroke, a case series and review of literature.

    Elkhider, Hisham / Ibrahim, Faisal / Sharma, Rohan / Sheng, Sen / Jasti, Madhu / Lotia, Mitesh / Kapoor, Nidhi / Onteddu, Sanjeeva / Mueed, Sajjad / Allam, Hesham / Nalleballe, Krishna

    Brain, behavior, & immunity - health

    2020  Volume 9, Page(s) 100172

    Abstract: Background: Corona Virus Disease 2019 (COVID-19) cases continue to increase around the World. Typical symptoms include fever and respiratory illness but a constellation of multisystem involvement including central nervous system (CNS) and peripheral ... ...

    Abstract Background: Corona Virus Disease 2019 (COVID-19) cases continue to increase around the World. Typical symptoms include fever and respiratory illness but a constellation of multisystem involvement including central nervous system (CNS) and peripheral nervous system (PNS) have been reported with COVID-19. Acute ischemic strokes (AIS) have also been reported as a complication.
    Methodology: We analyzed patient characteristics, clinical outcomes, laboratory results and imaging results of four patients with COVID-19 who had AIS.
    Results: All four patients were =< 60 years, had hypoxemic respiratory failure secondary to pneumonia, elevated D-dimer and inflammatory markers.
    Conclusion: Ischemic strokes are known complications in patients with severe COVID-19.
    Keywords covid19
    Language English
    Publishing date 2020-11-04
    Publishing country United States
    Document type Journal Article
    ISSN 2666-3546
    ISSN (online) 2666-3546
    DOI 10.1016/j.bbih.2020.100172
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: COVID-19 and Stroke, a Case Series and review of literature

    Elkhider, Hisham Ibrahim Faisal Sharma Rohan Sheng Sen Jasti Madhu Lotia Mitesh Kapoor Nidhi Onteddu Sanjeeva Mueed Sajjad Allam Hesham Nalleballe Krishna

    Brain, Behavior, & Immunity - Health

    Abstract: Abstract: Background Corona Virus Disease 2019 (COVID-19) cases continue to increase around the World Typical symptoms include fever and respiratory illness but a constellation of multisystem involvement including central nervous system (CNS) and ... ...

    Abstract Abstract: Background Corona Virus Disease 2019 (COVID-19) cases continue to increase around the World Typical symptoms include fever and respiratory illness but a constellation of multisystem involvement including central nervous system (CNS) and peripheral nervous system (PNS) have been reported with COVID-19 Acute ischemic strokes (AIS) have also been reported as a complication Methodology We analyzed patient characteristics, clinical outcomes, laboratory results and imaging results of four patients with COVID-19 who had AIS Results All four patients were =< 60 years , had hypoxemic respiratory failure secondary to pneumonia, elevated D-dimer and inflammatory markers Conclusion Ischemic strokes are known complications in patients with severe COVID-19
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #907092
    Database COVID19

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