SARS-CoV-2感染相关性脑炎的临床表现和治疗及病理生理机制研究进展

Advances in clinical manifestations, treatment and pathophysiological mechanisms of SARS-CoV-2 infection-associated encephalitis

  • 摘要: 新型冠状病毒感染(COVID-19)是由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的传染性疾病。SARS-CoV-2显示出嗜神经和神经侵袭特性。SARS-CoV-2感染相关性脑炎是在SARS-CoV-2急性感染后6周内出现的脑炎。在无明确病原学证据的情况下, 识别SARS-CoV-2感染相关性脑炎在临床仍然具有挑战性, 而SARS-CoV-2感染相关性脑炎也具有独特的病理生理学机制。本文综述了SARS-CoV-2感染相关性脑炎患者的临床症状、脑脊液特点、脑电图、影像学表现、治疗及预后, 以及SARS-CoV-2引起脑炎的病理生理机制进展, 以提高对SARS-CoV-2感染相关性脑炎的识别和进行及时有效的治疗。

     

    Abstract: Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). SARS-CoV-2 has demonstrated neurotropic and neuroinvasive properties. SARS-CoV-2-infection-associated encephalitis is defined as encephalitis occurring within 6 weeks after acute SARS-CoV-2 infection. Recognizing SARS-CoV-2-infection-associated encephalitis remains clinically challenging in the absence of clear etiological evidence, and SARS-CoV-2-infection-associated encephalitis also has unique pathophysiological mechanisms. This article reviews the clinical symptoms, cerebrospinal fluid characteristics, electroencephalogram, imaging manifestations, treatment and prognosis of patients with SARS-CoV-2-infection-associated encephalitis, as well as the advances in the pathophysiological mechanisms underlying SARS-CoV-2-induced encephalitis, in order to improve the recognition of SARS-CoV-2-infection-associated encephalitis and facilitate timely and effective treatment.

     

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