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10.1136/jnnp-2020-323522

http://scihub22266oqcxt.onion/10.1136/jnnp-2020-323522
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32354770!ä!32354770

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suck abstract from ncbi


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pmid32354770      J+Neurol+Neurosurg+Psychiatry 2020 ; 91 (8): 846-848
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  • Status of SARS-CoV-2 in cerebrospinal fluid of patients with COVID-19 and stroke #MMPMID32354770
  • Al Saiegh F; Ghosh R; Leibold A; Avery MB; Schmidt RF; Theofanis T; Mouchtouris N; Philipp L; Peiper SC; Wang ZX; Rincon F; Tjoumakaris SI; Jabbour P; Rosenwasser RH; Gooch MR
  • J Neurol Neurosurg Psychiatry 2020[Aug]; 91 (8): 846-848 PMID32354770show ga
  • BACKGROUND: Emergence of the novel corona virus (severe acute respiratory syndrome (SARS)-CoV-2) in December 2019 has led to the COVID-19 pandemic. The extent of COVID-19 involvement in the central nervous system is not well established, and the presence or the absence of SARS-CoV-2 particles in the cerebrospinal fluid (CSF) is a topic of debate. CASE DESCRIPTION: We present two patients with COVID-19 and concurrent neurological symptoms. Our first patient is a 31-year-old man who had flu-like symptoms due to COVID-19 and later developed an acute-onset severe headache and loss of consciousness and was diagnosed with a Hunt and Hess grade 3 subarachnoid haemorrhage from a ruptured aneurysm. Our second patient is a 62-year-old woman who had an ischaemic stroke with massive haemorrhagic conversion requiring a decompressive hemicraniectomy. Both patients' CSF was repeatedly negative on real-time PCR analysis despite concurrent neurological disease. CONCLUSION: Our report shows that patients' CSF may be devoid of viral particles even when they test positive for COVID-19 on a nasal swab. Whether SARS-CoV-2 is present in CSF may depend on the systemic disease severity and the degree of the virus' nervous tissue tropism and should be examined in future studies.
  • |Adult[MESH]
  • |Betacoronavirus/*isolation & purification[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*cerebrospinal fluid/*complications[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*cerebrospinal fluid/*complications[MESH]
  • |SARS-CoV-2[MESH]


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