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Can COVID-19 pandemic worsen previous neurological/psychiatric diseases? ¿Puede la pandemia de COVID-19 empeorar enfermedades neurológicas/psiquiátricas previas?”
Neurology Perspectives ; 2022.
Article in English | EuropePMC | ID: covidwho-1918636
ABSTRACT
Introduction The SARS-CoV-2 pandemic has been affecting the world since January 2020. Although its pathogenesis is primarily directed to the respiratory tract, other organs may be affected, including the nervous system. It has also been shown that the social context (confinement, lack of treatment) has affected neurological patients during this period. The aim of the study it was to assess the subjective worsening of neurological/psychiatric diseases in the context of the SARS-Cov-2 pandemic. Methods Three groups of neurological/psychiatric patients were included Patients who had symptomatic COVID-19 (n = 89), patients who had asymptomatic COVID-19 (n = 40), and a control group (n = 47), consisting of neurological/psychiatric patients without a history of SARS-Cov-2 infection. Results 30.7% of the included individuals considered that their basal pathology had worsened during the study period. This feeling was significantly more frequent (p = 0.01) in patients with symptomatic COVID-19 (39.3%) than in patients of the other 2 groups (21.8%). Worsening was not related to the severity of COVID-19. The neurological conditions that significantly worsened after COVID-19, comparing symptomatic COVID-19 with the other 2 groups, were demyelinating and degenerative diseases. Conclusions These results confirmed the impact of the SARS-Cov-2 pandemic on patients with neurological/psychiatric diseases. Confinement, lack of medical care, and the threat of diagnóstico are surely contributing factors. Although the finding of a higher frequency of worsening in symptomatic COVID-19 patients may be related to greater anxiety/depression in this group of patients, we cannot exclude the role of direct affectation of the nervous system by the virus or damage due to neuroinflammation.
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Collection: Databases of international organizations Database: EuropePMC Type of study: Experimental Studies / Prognostic study / Randomized controlled trials Language: English Journal: Neurology Perspectives Year: 2022 Document Type: Article

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Collection: Databases of international organizations Database: EuropePMC Type of study: Experimental Studies / Prognostic study / Randomized controlled trials Language: English Journal: Neurology Perspectives Year: 2022 Document Type: Article