Manifestações neurológicas pela COVID-19. Relato de casos no Hospital Militar Central Bogotá, Colômbia, e revisão da literatura
Resumo
De acordo com fontes epidemiológicas da Organização Mundial da Saúde, na última déca- da, entre as principais causas de mortalidade, mais de 55 % resultavam de doenças não transmissíveis, com predominância da isquemia cardíaca e do acidente cerebrovascular como causais. Em 2019, com o surgimento no novo coronavírus (COVID-19), como etiologia da pandemia que vem impactando tanto em saúde quanto econômica e socialmente o mundo inteiro, as cifras da curva das causas usuais de mortalidade vêm mudando não somente devido ao efeito direto da doença nos múltiplos órgãos, mas também aos efeitos indiretos com relação à falta de acesso à atenção médica em doenças crônicas. Tendo em vista que é uma doença transmissível, a COVID-19 produz alterações principalmente respiratórias e vasculares, contudo o maior conhecimento dos aspectos fisiopatológicos da doença revela o comprometimento de vários sistemas, destacando o nervoso central como um objetivo do vírus, que impacta nas sequelas e nos desenlaces dos pacientes, de modo que são registradas manifestações neurológicas de até 55 %. O objetivo desta revisão é caracterizar uma série de casos de pacientes no Hospital Militar Central, mediante a descrição de aspectos fisiopa- tológicos e clínicos do comprometimento neurológico.
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