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Gurugram: Covid Patients’ Nervous Problems Worry Doctors-Gurugram

 


About a month ago, a 28-year-old man who was a resident of South City 1 had a seizure, lost consciousness, and was admitted to a multi-specialty hospital in the city. He was asymptomatic but had a positive response to Covid-19.

“Of the 200 Covid-19 patients treated so far, more than 10 develop neurological symptoms, and 4 of them have Covid-19-like symptoms such as dyspnea (most commonly Was not shown,” said director Dr. Praveen Gupta. Neurology, Fortis Memorial Institute (FMRI), Gurugram. “They report unconsciousness and weakness due to brain inflammation and encephalitis. Some of them also showed strokes and seizures.”

Despite cases of neurological symptoms, respiratory distress remains a definitive symptom of Covid-19, along with loss of taste and smell.

When a 28-year-old man reached a Coma Fortis emergency, he tested twice positive for Covid-19. “The patient had an MRI scan of his brain that became normal. His seizures stopped and a day later he regained consciousness. He was on a ventilator for three days,” Dr. Gupta. Said. “The patient had a fever, low oxygen levels, and a cough that lasted for a week. He had blood in his sputum.”

The patient was treated for his condition and was discharged from the hospital where he recovered and his Covid-19 confirmation test returned negative.

A review of more than 50 studies published last month in the Annals of Neurology revealed that the virus affects almost every level of the nervous system and can lead to stroke, seizures, and muscle aches. .. However, the number of cases in India that initially showed neurological symptoms is still very small.

According to Dr. Gupta, coronaviruses can reach the brain through the nasal passages and cause neurochemical imbalances. “The virus can bind to receptors in the brain and blood vessels, reach the central nervous system, cause inflammation and neurochemical imbalances, and eventually cause seizures,” he said.

Doctors describe one of the pathological explanations for this is the formation of blood vessel thrombi.

“The virus can cause blood clots in various parts of the body, reaching the brain and causing strokes and strokes,” said Dr. Yatin Mehta, director of critical care at Medanta Hospital.

Mehta treated Covid-19 patients who had symptoms such as altered consciousness and mild paralysis. “We have seen neuropathy in nearly 5% of the patients admitted to our hospital. They are mostly elderly and need to continue to receive ventilator support. It has been reported,” said Mehta.

Dr. Gupta said at least two Covid-19 patients in the hospital died of a stroke. “Viral immune-mediated events like ADEM (acute disseminated encephalomyelitis-a rare inflammatory demyelinating disease of the central nervous system) can occur,” Gupta said, taste and smell. Loss is an early symptom.

Patients with neurological symptoms may recover in 15 days, but treatment can reach one month and even die, doctors said. Therefore, they suggest that caution is needed if the hands have signs of weakness and mild sensations.

Looking back on a study at the Annals of Neurology on June 14, Dr. Rajinder K Dhamija, Head of Neurology at Lady Hardinge Medical College & Hospital in Delhi, said: Beyond cough and fever. We need to actively investigate the patient’s medical history. “

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