Neurological manifestations in COVID -19 patients in recovery phase: A retrospective study

Authors

  • Arpana Singhal Associate Professor, Department of Obstetrics and Gynaecology, Govt . R.D.B.P. Jaipuria Hospital, R.U.H.S. College of Medical Sciences , Jaipur, Rajasthan, India
  • Rekha Singh Medical Superintendent and Department of Ophthalmology, Govt . R.D.B.P. Jaipuria Hospital, R.U.H.S. College of Medical Sciences , Jaipur, Rajasthan, India
  • Abbas Ali Professor, Department of General Surgery and Nodal officer-COVID-19, Govt . R.D.B.P. Jaipuria Hospital, R.U.H.S. College of Medical Sciences , Jaipur, Rajasthan, India
  • Anupama Kayal Medical Officer, Department of Dental Surgery, Govt . R.D.B.P. Jaipuria Hospital, R.U.H.S. College of Medical Sciences , Jaipur, Rajasthan, India
  • Raja Ram Basira Principal Specialist, Department of General Medicine, Govt . R.D.B.P. Jaipuria Hospital, R.U.H.S. College of Medical Sciences , Jaipur, Rajasthan, India
  • Gajanand Verma Assistant Professor, Department of Psychiatry,Govt . R.D.B.P. Jaipuria Hospital, R.U.H.S. College of Medical Sciences , Jaipur, Rajasthan, India

Keywords:

Comorbid, mental evaluation, neurological

Abstract

Background and aims: The Coronavirus disease 2019 (COVID-19) is a potentially serious condition caused by a novel coronavirus termed as “severe acute respiratory syndrome coronavirus-2. The SARS-CoV-2 virus affects both central and peripheral nervous systems resulting in varied neurological presentations. This study assesses the neurological manifestations in COVID -19 patients in the recovery phase. Method: This retrospective study was conducted on 401 patients who were discharged from Government RDBP Jaipuri a hospital Jaipur with COVID negative reverse transcription–polymerase chain reaction (RT-PCR) test for SARS-CoV-2. An individual telephonic interview was conducted after 21-28 days post discharge in post COVID period to assess the neurological manifestations by a self-designed questionnaire.Results: In this study conducted from 10th September 2020 to 10th October 2020, 59 patients refused to participate in the study. So out of 342 patients, 238 (69.60%) were males and 104(30.40%) were females. We found post COVID symptoms with Fatigue - 57.8% ,Myalgia 29%,Anosmia- 41.5%,Dysguesia – 35.9%, Headache – 41.0%,Memory loss 3.2%,Concentration difficulty – 18.7%,Sleep disorder – 26.9%, Psychiatric disorder- 18.12% , 01 patient reported with Right side thigh hematoma and 01 patient with Left side hemiparesis. 48 (14.03%) patients did not reported any of above symptoms, 124(36.25%) patients had one or two symptoms and 174 (58.8%) had three or more persistent symptoms.Conclusion: Various neurological presentations occur in the recovery phase of elderly comorbid COVID 19 cases. This recommends a thorough mental evaluation and neurological work up for complete rehabilitation of these patients.

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Published

2021-08-30

How to Cite

Arpana Singhal, Rekha Singh, Abbas Ali, Anupama Kayal, Raja Ram Basira, & Gajanand Verma. (2021). Neurological manifestations in COVID -19 patients in recovery phase: A retrospective study. International Journal of Health and Clinical Research, 4(15), 382–387. Retrieved from https://ijhcr.com/index.php/ijhcr/article/view/2535