Functional Disorders as a Common Motor Manifestation of COVID-19 Infection or Vaccination.
Eur J Neurol
; 2022 Nov 11.
Article
in English
| MEDLINE | ID: covidwho-2230135
ABSTRACT
INTRODUCTION:
There have been over 500 million confirmed cases of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), also known as coronavirus disease 2019 (COVID-19), across the globe. To date, a broad spectrum of neurological manifestations following acute infections as well as COVID-19 vaccines have been reported. This study aims to describe the spectrum of neurological manifestations seen in the 'COVID-19 clinic' established in a tertiary Movement Disorders clinic.METHODS:
In this consecutive case-series study over the period March 2020-January 2022, clinical information regarding demographic data, clinical history and examination findings, investigation results and video recordings of outpatients with motor manifestations associated with COVID-19 infection or vaccination were reviewed.RESULTS:
Twenty-one adult patients were reviewed in this ad-hoc clinic at Toronto Western Hospital. The majority of the patients were female (76%) and the average age was 50.7±17.2 years (range 21-80 years). Nine patients (43%) presented with motor manifestations following COVID-19 infection. Twelve patients (57%) developed neurological symptoms following at least one dose of the mRNA or viral vector-based COVID-19 vaccine. The most common manifestation observed was a functional movement disorder (43%). The vaccine group demonstrated a higher number of functional disorders compared to the infection group (58% vs 22%, p=0.08).DISCUSSION:
Functional motor manifestations can be associated with COVID-19 and are likely to be under reported. In view of the co-existence of functional symptoms, movement disorders and mental health conditions observed in this study, we would advocate the use of dedicated COVID-19 Neurology clinics with full access to an experienced multidisciplinary team.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Prognostic study
Topics:
Vaccines
Language:
English
Journal subject:
Neurology
Year:
2022
Document Type:
Article
Affiliation country:
Ene.15630
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