EEG Findings in Coronavirus Disease

Autor: Madison S, Pilato, Alexandra, Urban, Rafeed, Alkawadri, Niravkumar V, Barot, James F, Castellano, Vijayalakshmi, Rajasekaran, Anto I, Bagić, Joanna S, Fong-Isariyawongse
Rok vydání: 2020
Předmět:
Zdroj: Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society. 39(2)
ISSN: 1537-1603
Popis: Neurologic manifestations of coronavirus disease (COVID-19) such as encephalopathy and seizures have been described. To our knowledge, detailed EEG findings in COVID-19 have not yet been reported. This report adds to the scarce body of evidence.We identified eight COVID-19 positive patients who underwent EEG monitoring in our hospital system.EEGs were most commonly ordered for an altered level of consciousness, a nonspecific neurologic manifestation. We observed generalized background slowing in all patients and generalized epileptiform discharges with triphasic morphology in three patients. Focal electrographic seizures were observed in one patient with a history of focal epilepsy and in another patient with no such history. Five of eight patients had a previous diagnosis of epilepsy, suggesting that pre-existing epilepsy can be a potential risk factor for COVID-19-associated neurological manifestations. Five of eight patients who underwent EEG experienced a fatal outcome of infection.Our findings underscore previous observations that neurologic manifestations are common in severe cases. COVID-19 patients with epilepsy may have an increased risk of neurological manifestations and abnormal EEG.
Databáze: OpenAIRE