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Seizure in patients with COVID-19
OBJECTIVE: The purpose of the current study was to collect the data on the occurrence of seizures in patients with COVID-19 and to clarify the circumstances of the occurrence of seizures in these patients. METHODS: All consecutive patients who referred to healthcare facilities anywhere in Fars provi...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7501768/ https://www.ncbi.nlm.nih.gov/pubmed/32949289 http://dx.doi.org/10.1007/s10072-020-04731-9 |
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author | Emami, Amir Fadakar, Nima Akbari, Ali Lotfi, Mehrzad Farazdaghi, Mohsen Javanmardi, Fatemeh Rezaei, Tahereh Asadi-Pooya, Ali A. |
author_facet | Emami, Amir Fadakar, Nima Akbari, Ali Lotfi, Mehrzad Farazdaghi, Mohsen Javanmardi, Fatemeh Rezaei, Tahereh Asadi-Pooya, Ali A. |
author_sort | Emami, Amir |
collection | PubMed |
description | OBJECTIVE: The purpose of the current study was to collect the data on the occurrence of seizures in patients with COVID-19 and to clarify the circumstances of the occurrence of seizures in these patients. METHODS: All consecutive patients who referred to healthcare facilities anywhere in Fars province (located in South Iran with a population of 4.851 million people) from February 19 until June 2, 2020, and had confirmed COVID-19 by positive result on polymerase chain reaction testing and seizure were included. RESULTS: During the study period, 6,147 people had confirmed COVID-19 in Fars province, Iran; 110 people died from the illness (case fatality rate 1.79%). During this time period, five people had seizures (seizure rate 0.08%). In four patients, seizure was one of the presenting manifestations, and in one person, it happened during the course of hospital admission. Two patients had status epilepticus. All patients experienced hypoxemia and four of them needed respirator. Two patients had related metabolic derangements and one had cerebrospinal fluid (CSF) lymphocytic pleocytosis. Brain imaging was abnormal in three patients. Four patients died. CONCLUSION: New-onset seizures in critically ill patients with COVID-19 should be considered as acute symptomatic seizures and the treating physician should try to determine the etiology of the seizure and manage the cause immediately and appropriately. Detailed clinical, neurological, imaging, and electrophysiological investigations and attempts to isolate SARS-CoV-2 from CSF may clarify the role played by this virus in causing seizures in these patients. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s10072-020-04731-9) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-7501768 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-75017682020-09-21 Seizure in patients with COVID-19 Emami, Amir Fadakar, Nima Akbari, Ali Lotfi, Mehrzad Farazdaghi, Mohsen Javanmardi, Fatemeh Rezaei, Tahereh Asadi-Pooya, Ali A. Neurol Sci Covid-19 OBJECTIVE: The purpose of the current study was to collect the data on the occurrence of seizures in patients with COVID-19 and to clarify the circumstances of the occurrence of seizures in these patients. METHODS: All consecutive patients who referred to healthcare facilities anywhere in Fars province (located in South Iran with a population of 4.851 million people) from February 19 until June 2, 2020, and had confirmed COVID-19 by positive result on polymerase chain reaction testing and seizure were included. RESULTS: During the study period, 6,147 people had confirmed COVID-19 in Fars province, Iran; 110 people died from the illness (case fatality rate 1.79%). During this time period, five people had seizures (seizure rate 0.08%). In four patients, seizure was one of the presenting manifestations, and in one person, it happened during the course of hospital admission. Two patients had status epilepticus. All patients experienced hypoxemia and four of them needed respirator. Two patients had related metabolic derangements and one had cerebrospinal fluid (CSF) lymphocytic pleocytosis. Brain imaging was abnormal in three patients. Four patients died. CONCLUSION: New-onset seizures in critically ill patients with COVID-19 should be considered as acute symptomatic seizures and the treating physician should try to determine the etiology of the seizure and manage the cause immediately and appropriately. Detailed clinical, neurological, imaging, and electrophysiological investigations and attempts to isolate SARS-CoV-2 from CSF may clarify the role played by this virus in causing seizures in these patients. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s10072-020-04731-9) contains supplementary material, which is available to authorized users. Springer International Publishing 2020-09-19 2020 /pmc/articles/PMC7501768/ /pubmed/32949289 http://dx.doi.org/10.1007/s10072-020-04731-9 Text en © Fondazione Società Italiana di Neurologia 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Covid-19 Emami, Amir Fadakar, Nima Akbari, Ali Lotfi, Mehrzad Farazdaghi, Mohsen Javanmardi, Fatemeh Rezaei, Tahereh Asadi-Pooya, Ali A. Seizure in patients with COVID-19 |
title | Seizure in patients with COVID-19 |
title_full | Seizure in patients with COVID-19 |
title_fullStr | Seizure in patients with COVID-19 |
title_full_unstemmed | Seizure in patients with COVID-19 |
title_short | Seizure in patients with COVID-19 |
title_sort | seizure in patients with covid-19 |
topic | Covid-19 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7501768/ https://www.ncbi.nlm.nih.gov/pubmed/32949289 http://dx.doi.org/10.1007/s10072-020-04731-9 |
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