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10.1007/s00415-020-09929-7

http://scihub22266oqcxt.onion/10.1007/s00415-020-09929-7
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32458193!7249973!32458193
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suck abstract from ncbi


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pmid32458193      J+Neurol 2020 ; 267 (8): 2179-2184
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  • Understanding the neurotropic characteristics of SARS-CoV-2: from neurological manifestations of COVID-19 to potential neurotropic mechanisms #MMPMID32458193
  • Zhou Z; Kang H; Li S; Zhao X
  • J Neurol 2020[Aug]; 267 (8): 2179-2184 PMID32458193show ga
  • Coronavirus disease 2019 (COVID-19), a disease caused by the novel betacoronavirus (SARS-CoV-2), has become a global pandemic threat. The potential involvement of COVID-19 in central nervous system (CNS) has attracted considerable attention due to neurological manifestations presented throughout the disease process. In addition, SARS-CoV-2 is structurally similar to SARS-CoV, and both bind to the angiotensin-converting enzyme 2 (ACE2) receptor to enter human cells. Thus, cells expressing ACE2, such as neurons and glial cells may act as targets and are thus vulnerable to SARS-CoV-2 infection. Here, we have reviewed the neurological characteristics of COVID-19 and summarized possible mechanisms of SARS-CoV-2 invasion of the CNS. COVID-19 patients have presented with a number of different neurological symptoms such as headache, dizziness, hyposmia, and hypogeusia during the course of illness. It has also been reported recently that some cases of COVID-19 have presented with concurrent acute cerebrovascular disease (acute ischemic stroke, cerebral venous sinus thrombosis, cerebral hemorrhage, subarachnoid hemorrhage), meningitis/encephalitis, acute necrotizing hemorrhagic encephalopathy, and acute Guillain-Barre syndrome. Furthermore, SARS-CoV-2 RNA detected in a cerebrospinal fluid specimen of a patient with COVID-19 have provided direct evidence to support the theory of neurotropic involvement of SARS-CoV-2. However, the underlying neurotropic mechanisms of SARS-CoV-2 are yet to be established. SARS-CoV-2 may affect CNS through two direct mechanisms (hematogenous dissemination or neuronal retrograde dissemination) or via indirect routes. The underlying mechanisms require further elucidation in the future.
  • |*Betacoronavirus[MESH]
  • |Animals[MESH]
  • |Blood-Brain Barrier/metabolism/pathology/virology[MESH]
  • |Brain/*metabolism/pathology/virology[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/diagnosis/*epidemiology/*metabolism[MESH]
  • |Dizziness/diagnosis/epidemiology/metabolism[MESH]
  • |Encephalitis/diagnosis/epidemiology/metabolism[MESH]
  • |Headache/diagnosis/epidemiology/metabolism[MESH]
  • |Humans[MESH]
  • |Nervous System Diseases/diagnosis/*epidemiology/*metabolism[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/diagnosis/*epidemiology/*metabolism[MESH]


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