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Up to 36% of new patients are reported to have neurological symptoms.
animal models and human anatomy have shown that other coronavirus (especially severe acute respiratory syndrome (SARS-CoV)) have an effect on the nervous system.
Therefore, the possibility of SARS-CoV2 (i.e. neo-coronavirus) damage to the peripheral and central nervous system (CNS) needs to be investigated to distinguish between the resulting neurological symptoms associated with structural damage or reversible neurological dysfunction, a distinction that is key to the long-term sequelae of the prognosis.
neural silk light chain (NfL) represents the main component of the neuron cell skeleton and functions in axon growth, stability, and intracellular transport; serum NfL (sNfL) is a blood type marker specifically that reflects axon damage, as shown in studies including acute central nervous system (isohythmic stroke, isohemia) and chronic (multiple sclerosis and cerebrovascular disease).
, of the University of Basel in Switzerland, measured sNfL concentrations in 29 patients with severe COVID-19, 10 with severe but non-COVID-19 patients, and 259 with healthy control.
after adjusting for neurological complications and age, they found that SNfL had higher concentrations in patients with COVID-19 than in other control groups and severe and non-COVID-19 patients.
high sNfL levels are associated with adverse short-term clinical outcomes (e.g. renal inseconcance, multiple organ failure), suggesting that nerve damage is common and more obvious in critical new crown patients.
origins: Sutter, R., Hert, L., De Marchis, G.M., Twerenbold, R., Kappos, L., Naegelin, Y., ... & Kuhle, J. (2020). Serum neurofilament light chain levels in the intensive care unit: comparison between severely ill patients with and without COVID‐19. _Annals of neurology_. Freeman Source: MedSci Original Copyright Notice: All text, images and audio and video materials on this website that indicate "Source: Mets Medicine" or "Source: MedSci Originals" are owned by Mets Medical and are not reproduced by any media, website or individual without authorization, and are authorized to be reproduced with the words "Source: Mets Medicine".
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