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Pregnancy and neurologic complications of COVID-19: A scoping review.
Magalhães, João Eudes; Sampaio-Rocha-Filho, Pedro Augusto.
  • Magalhães JE; Department of Neurology, Faculdade de Ciências Médicas-Universidade de Pernambuco, Recife, Brazil.
  • Sampaio-Rocha-Filho PA; Instituto de Medicina Integral Professor Fernando Figueira, Recife, Brazil.
Acta Neurol Scand ; 146(1): 6-23, 2022 Jul.
Article in English | MEDLINE | ID: covidwho-1779169
ABSTRACT
While neurologic complications are frequently reported among patients with COVID-19 in the general population, they are unknown in pregnant women. This paper summarizes the case reports of pregnant women with confirmed SARS-CoV-2 infection plus a specified neurologic diagnosis. Until November 2021, 18 case reports were found. Both the central and peripheral nervous systems were equally affected delirium (n = 1), posterior reversible encephalopathy syndrome (n = 4), cerebrovascular disease (n = 2), acute cerebral demyelinating disease (n = 1), acute necrotizing encephalopathy (n = 1), Guillain-Barré syndrome (n = 5), including one patient who also had vestibular neuritis, Bell's palsy (n = 3), and rhabdomyolysis (n = 1). The median maternal age was 32.5 (25-35) years, the median gestational age was 34 (30-36.5) weeks, and 38.9% presented previous medical conditions. Respiratory symptoms were reported in 76.5%, and 76.5% received immunotherapies to treat the COVID-19 or the neurologic complications. Half the women required admission to ICU and, more often, were those with central nervous system involvement (77.8% vs. 22.2%; Chi-square test, p = .018). For 64.7% of women, the most common method of delivery was surgical, although just one case was due to the neurologic complication. There were reports of one spontaneous abortion, two fetal deaths, and no maternal deaths. Only one case presented a poor neurologic outcome. It is possible that our findings are underestimated, considering that there are thousands of reports regarding neurologic complications in the general population with COVID-19.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pregnancy Complications / Abortion, Spontaneous / Posterior Leukoencephalopathy Syndrome / COVID-19 Type of study: Observational study / Prognostic study / Reviews Topics: Long Covid Limits: Adult / Female / Humans / Infant / Pregnancy Language: English Journal: Acta Neurol Scand Year: 2022 Document Type: Article Affiliation country: Ane.13621

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pregnancy Complications / Abortion, Spontaneous / Posterior Leukoencephalopathy Syndrome / COVID-19 Type of study: Observational study / Prognostic study / Reviews Topics: Long Covid Limits: Adult / Female / Humans / Infant / Pregnancy Language: English Journal: Acta Neurol Scand Year: 2022 Document Type: Article Affiliation country: Ane.13621