Поражение нервной системы при СOVID-19
Автор: Белопасов Владимир Викторович, Яшу Яссин, Самойлова Екатерина Михайловна, Баклаушев Владимир Павлович
Журнал: Клиническая практика @clinpractice
Рубрика: Обзоры
Статья в выпуске: 2 т.11, 2020 года.
Бесплатный доступ
В статье на основе имеющихся публикаций систематизированы сведения об основных формах поражения периферической и центральной нервной систем, их клинических проявлениях при СOVID-19. Обсуждаются методы диагностики (лабораторные, инструментальные и лучевые) и лечебная тактика при разных нозологических формах - от краниальных мононевропатий до острой воспалительной полинейропатии Гийена-Барре и тяжелых поражений головного и спинного мозга в виде острой геморрагической некротизирующей энцефалопатии и миелопатий. С точки зрения патогенеза, неврологические нарушения при COVID-19 могут быть обусловлены «цитокиновым штормом», гипоксемией, нарушениями гомеостаза (энцефалопатия критических состояний), нейротропностью и нейровирулентностью SARS-CoV-2 (изолированное поражение черепных нервов, очаговые и диффузные поражения ЦНС), а также смешанным воздействием перечисленных факторов. COVID-19 влияет на течение хронических неврологических заболеваний, особенно, связанных с нейроиммунными нарушениями. Все перечисленное определяет необходимость мультидисциплинарного подхода к лечению COVID-19 и его осложнений с обязательным участием специалиста-невролога.
Новая коронавирусная инфекция, вирусное поражение головного и спинного мозга, энцефалопатия критических состояний
Короткий адрес: https://sciup.org/143172674
IDR: 143172674 | DOI: 10.17816/clinpract34851
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