Neurological complications of COVID-19

QJM. 2023 Mar 27;116(3):161-180. doi: 10.1093/qjmed/hcac272.

Abstract

Corona Virus Disease 2019 (COVID-19) has caused several pandemic peaks worldwide due to its high variability and infectiousness, and COVID-19 has become a long-standing global public health problem. There is growing evidence that severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) frequently causes multi-organ injuries and more severe neurological manifestations. Therefore, increased awareness of possible neurological complications is beneficial in preventing and mitigating the impact of long-term sequelae and improving the prognostic outcome of critically ill patients with COVID-19. Here, we review the main pathways of SARS-CoV-2 neuroinvasion and the potential mechanisms causing neurological damage. We also discuss in detail neurological complications, aiming to provide cutting-edge basis for subsequent related basic research and clinical studies of diagnosis and treatment.

Publication types

  • Review

MeSH terms

  • COVID-19* / complications
  • Humans
  • Nervous System Diseases* / etiology
  • Nervous System Diseases* / therapy
  • SARS-CoV-2