Objective: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) primarily causes respiratory illness. However, neurological sequelae from novel coronavirus disease 2019 (COVID-19) can occur. Patients with neurological conditions may be at higher risk of developing worsening of their underlying problem. Here we document our initial experiences as neurologic consultants at a single center quaternary hospital at the epicenter of the COVID-19 pandemic. Methods: This was a retrospective case series of adult patients diagnosed with SARS-CoV-2 who required neurological evaluation in the form of a consultation or primary neurological care from March 13, 2020 to April 1, 2020. Results: Thirty-three patients (ages 17–88 years) with COVID-19 infection who required neurological or admission to a primary neurology team were included in this study. The encountered neurological problems associated with SARS-CoV-2 infection were encephalopathy (12 patients, 36.4%), seizure (9 patients, 27.2%), stroke (5 patients, 15.2%), recrudescence of prior neurological disease symptoms (4 patients, 12.1%), and neuromuscular (3 patients, 9.1%). The majority of patients who required evaluation by neurology had elevated inflammatory markers. Twenty-one (63.6%) patients were discharged from the hospital and 12 (36.4%) died from COVID-19 related complications. Conclusion: This small case series of our initial encounters with COVID-19 infection describes a range of neurological complications which are similar to presentations seen with other critical illnesses. COVID-19 infection did not change the overall management of neurological problems.
【저자키워드】 COVID-19, severe acute respiratory syndrome coronavirus 2, Novel coronavirus, NEUROLOGY, inpatient consults, 【초록키워드】 SARS-CoV-2, coronavirus, stroke, SARS-COV-2 infection, COVID-19 pandemic, hospital, Infection, inflammatory markers, Respiratory illness, Symptom, novel coronavirus disease, COVID-19 infection, management, Patient, complications, Encephalopathy, Admission, Care, Critical, patients, retrospective, Seizure, neurological, Neurological complication, Neurological disease, acute respiratory syndrome, higher risk, worsening, single center, illnesses, neurological problems, neurologic, initial, died, diagnosed, required, elevated, case sery, condition, majority, occur, cause, discharged, neurological problem, with COVID-19, 【제목키워드】 New York City, Onset, consultation, Inpatient, center, Sery, the SARS-CoV-2,