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10.1007/s00415-021-10554-1

http://scihub22266oqcxt.onion/10.1007/s00415-021-10554-1
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suck abstract from ncbi


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pmid33893540      J+Neurol 2021 ; 268 (11): 3969-3974
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  • Serum neurofilament light chain (sNfL) values in a large cross-sectional population of children with asymptomatic to moderate COVID-19 #MMPMID33893540
  • Geis T; Brandstetter S; Toncheva AA; Laub O; Leipold G; Wagner R; Kabesch M; Kasser S; Kuhle J; Wellmann S
  • J Neurol 2021[Nov]; 268 (11): 3969-3974 PMID33893540show ga
  • BACKGROUND: Serum neurofilament light chain (sNfL) is an established biomarker of neuro-axonal damage in multiple neurological disorders. Raised sNfL levels have been reported in adults infected with pandemic coronavirus disease 2019 (COVID-19). Levels in children infected with COVID-19 have not as yet been reported. OBJECTIVE: To evaluate whether sNfL is elevated in children contracting COVID-19. METHODS: Between May 22 and July 22, 2020, a network of outpatient pediatricians in Bavaria, Germany, the Coronavirus antibody screening in children from Bavaria study network (CoKiBa), recruited healthy children into a cross-sectional study from two sources: an ongoing prevention program for 1-14 years, and referrals of 1-17 years consulting a pediatrician for possible infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We determined sNfL levels by single molecule array immunoassay and SARS-CoV-2 antibody status by two independent quantitative methods. RESULTS: Of the 2652 included children, 148 (5.6%) were SARS-CoV-2 antibody positive with asymptomatic to moderate COVID-19 infection. Neurological symptoms-headache, dizziness, muscle aches, or loss of smell and taste-were present in 47/148 cases (31.8%). Mean sNfL levels were 5.5 pg/ml (SD 2.9) in the total cohort, 5.1 (SD 2.1) pg/ml in the children with SARS-CoV-2 antibodies, and 5.5 (SD 3.0) pg/ml in those without. Multivariate regression analysis revealed age-but neither antibody status, antibody levels, nor clinical severity-as an independent predictor of sNfL. Follow-up of children with pediatric multisystem inflammatory syndrome (n = 14) showed no association with sNfL. CONCLUSIONS: In this population study, children with asymptomatic to moderate COVID-19 showed no neurochemical evidence of neuronal damage.
  • |*COVID-19[MESH]
  • |*Intermediate Filaments[MESH]
  • |Adult[MESH]
  • |Child[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Humans[MESH]
  • |Neurofilament Proteins[MESH]
  • |SARS-CoV-2[MESH]


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