Epilepsy as a Presenting Symptom of Covid-19 in a Tertiary Private Hospital in Northern Mexico
Bioscientia Medicina : Journal of Biomedicine and Translational Research
; 6(3):1490-1493, 2022.
Article
in English
| CAB Abstracts | ID: covidwho-1780466
ABSTRACT
Background. Various manifestations of COVID-19 have been described in patients, including neurological. Few studies describe seizures as a presenting symptom. This study was aimed to identify clinical characteristics, type of epilepsy and electroencephalographic findings in patients with epilepsy as a presenting symptom of COVID-19 in a tertiary private hospital. Methods. Descriptive, retrospective, observational and cross-sectional study. Inclusion criteria were patients with epilepsy as a presenting symptom of COVID-19 confirmed with Polimerase Chain Reaction (PCR) for SARS-CoV2 by nasopharyngeal swab from March 2020-July 2021 in a tertiary private hospital. Study variables were age, gender, type of epilepsy, comorbidities and electroencephalographic findings. It was classified into three groups acute symptomatic seizures, onset of epilepsy, and uncontrolled epilepsy. Information was captured in Excel and analyzed in SPSS. Results. Of 203,987 patientes with a confirmed diagnosis of COVID-19 in Nuevo Le..n until July 2021, 10 patients (0.004%) were included with seizures. Two patients had acute symptomatic seizures (20%), four patients had onset seizures (40%) and four patients (40%) had uncontrolled epilepsy with an average epilepsy evolution time of 15.75 years. Focal seizures were predominant in 63%. Electroencephalogram was abnormal in 90% (50% focal frontotemporal sharp waves, 20% encephalopathic, 20% generalized spike wave). Two patients (20%) had status epilepticus. Conclusion. This study is important in order to carry out early detection in suspects or with a previous neurological history and to avoid the spread of the coronavirus.
Prion, Viral, Bacterial and Fungal Pathogens of Humans [VV210]; Non-communicable Human Diseases and Injuries [VV600]; human diseases; epilepsy; coronavirus disease 2019; clinical aspects; patients; seizures; viral diseases; comorbidity; nasopharynx; Severe acute respiratory syndrome coronavirus 2; man; Mexico; Severe acute respiratory syndrome-related coronavirus; Betacoronavirus; Coronavirinae; Coronaviridae; Nidovirales; positive-sense ssRNA Viruses; ssRNA Viruses; RNA Viruses; viruses; Homo; Hominidae; primates; mammals; vertebrates; Chordata; animals; eukaryotes; APEC countries; high Human Development Index countries; Latin America; America; North America; OECD Countries; upper-middle income countries; SARS-CoV-2; clinical picture; viral infections
Full text:
Available
Collection:
Databases of international organizations
Database:
CAB Abstracts
Country/Region as subject:
Mexico
Language:
English
Journal:
Bioscientia Medicina : Journal of Biomedicine and Translational Research
Year:
2022
Document Type:
Article
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