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Sawczyńska K, Wężyk K, Bosak M, Jagiełła J, Andrasik S, Kępińska-Wnuk A, Dec-Ćwiek M, Słowik A. Acute-onset chorea and confusional state in 77-year-old COVID-19 patient: a case report. Neurol Neurochir Pol 2022; 56:106-110. [PMID: 34985113 DOI: 10.5603/pjnns.a2022.0003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Revised: 11/24/2021] [Accepted: 11/24/2021] [Indexed: 11/25/2022]
Affiliation(s)
- Katarzyna Sawczyńska
- Department of Neurology, Jagiellonian University Medical College, Krakow, Poland. .,Department of Neurology, University Hospital in Krakow, Poland.
| | - Kamil Wężyk
- Department of Neurology, University Hospital in Krakow, Poland.,Department of Physiotherapy, Jagiellonian University Medical College, Krakow, Poland
| | - Magdalena Bosak
- Department of Neurology, Jagiellonian University Medical College, Krakow, Poland.,Department of Neurology, University Hospital in Krakow, Poland
| | - Jeremiasz Jagiełła
- Department of Neurology, Jagiellonian University Medical College, Krakow, Poland.,Department of Neurology, University Hospital in Krakow, Poland
| | - Szymon Andrasik
- Department of Neurology, University Hospital in Krakow, Poland
| | - Alicja Kępińska-Wnuk
- Department of Neurology, Jagiellonian University Medical College, Krakow, Poland.,Department of Neurology, University Hospital in Krakow, Poland
| | - Małgorzata Dec-Ćwiek
- Department of Neurology, Jagiellonian University Medical College, Krakow, Poland.,Department of Neurology, University Hospital in Krakow, Poland
| | - Agnieszka Słowik
- Department of Neurology, Jagiellonian University Medical College, Krakow, Poland.,Department of Neurology, University Hospital in Krakow, Poland
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Wnuk M, Sawczyńska K, Kęsek T, Wrona P, Chatys-Bogacka Ż, Mazurkiewicz I, Drabik L, Jagiełła J, Szaleniec J, Czepiel J, Pawliński Ł, Bień AI, Kania M, Fiema M, Zięba-Parkitny J, Hajek A, Ucieklak D, Wilk M, Pośpiech K, Lechowicz P, Kasprzycki K, Kopka M, Hohendorff J, Katra B, Kostrzycka M, Adamczyk M, Surowiec P, Rybicka M, Walczewska J, Kamińska B, Piętak E, Bryniarski P, Marona M, Motyl M, Kępińska-Wnuk A, Włodarczyk M, Nowak K, Gradek-Kwinta E, Czyżycki M, Dwojak M, Rzemińska A, Wężyk K, Koźmiński W, Pułyk A, Garlicki A, Grodzicki T, Małecki M, Słowik A. Neurological symptoms in hospitalised patients with COVID-19 and their association with in-hospital mortality. Neurol Neurochir Pol 2021; 55:314-321. [PMID: 34037979 DOI: 10.5603/pjnns.a2021.0039] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Revised: 04/11/2021] [Accepted: 04/13/2021] [Indexed: 11/25/2022]
Abstract
OBJECTIVES To evaluate the spectrum of neurological symptoms in patients with COVID-19 during the first 14 days of hospitalisation and its association with in-hospital mortality. MATERIAL AND METHODS We included 200 patients with RT-PCR-confirmed COVID-19 admitted to University Hospital in Krakow, Poland. In 164 patients, a detailed questionnaire concerning neurological symptoms and signs was performed prospectively within 14 days of hospitalisation. In the remaining 36 patients, such questionnaires were completed retrospectively based on daily observations in the Department of Neurology. RESULTS During hospitalisation, 169 patients (84.5%) experienced neurological symptoms; the most common were: fatigue (62.5%), decreased mood (45.5%), myalgia (43.5%), and muscle weakness (42.5%). Patients who died during hospitalisation compared to the remainder were older (79 [70.5-88.5] vs. 63.5 [51-77] years, p = 0.001), and more often had decreased level of consciousness (50.0% vs. 9.3%, p < 0.001), delirium (33.3% vs. 4.4%, p < 0.001), arterial hypotension (50.0% vs. 19.6%, p = 0.005) or stroke during (18.8% vs. 3.3%, p = 0.026) or before hospitalisation (50.0% vs. 7.1, p < 0.001), whereas those who survived more often suffered from headache (42.1% vs. 0%, p = 0.012) or decreased mood (51.7% vs. 0%, p = 0.003). CONCLUSIONS Most hospitalised patients with COVID-19 experience neurological symptoms. Decreased level of consciousness, delirium, arterial hypotension, and stroke during or before hospitalisation increase the risk of in-hospital mortality.
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Affiliation(s)
- Marcin Wnuk
- Department of Neurology, University Hospital in Krakow, Poland. .,Jagiellonian University Medical College, Department of Neurology, Krakow, Poland.
| | - Katarzyna Sawczyńska
- Jagiellonian University Medical College, Department of Neurology, Krakow, Poland
| | - Tomasz Kęsek
- Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Poland
| | - Paweł Wrona
- Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Poland
| | | | - Iwona Mazurkiewicz
- Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Poland
| | - Leszek Drabik
- Jagiellonian University Medical College, Department of Pharmacology, Krakow, Poland.,John Paul II Hospital, Krakow, Poland
| | - Jeremiasz Jagiełła
- Jagiellonian University Medical College, Department of Neurology, Krakow, Poland
| | - Joanna Szaleniec
- Jagiellonian University Medical College, Department of Otorhinolaryngology, Krakow, Poland.,Department of Otorhinolaryngology, University Hospital in Krakow, Poland
| | - Jacek Czepiel
- Jagiellonian University Medical College, Department of Infectious and Tropical Diseases, Krakow, Poland.,Department of Infectious Diseases, University Hospital in Krakow, Poland
| | - Łukasz Pawliński
- Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Poland.,Jagiellonian University Medical College, Department of Metabolic Diseases and Diabetology, Krakow, Poland
| | - Artur Igor Bień
- Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Poland.,Jagiellonian University Medical College, Department of Metabolic Diseases and Diabetology, Krakow, Poland
| | - Michał Kania
- Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Poland.,Jagiellonian University Medical College, Department of Metabolic Diseases and Diabetology, Krakow, Poland
| | - Mateusz Fiema
- Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Poland.,Jagiellonian University Medical College, Department of Metabolic Diseases and Diabetology, Krakow, Poland
| | - Joanna Zięba-Parkitny
- Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Poland.,Jagiellonian University Medical College, Department of Metabolic Diseases and Diabetology, Krakow, Poland
| | - Agnes Hajek
- Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Poland.,Jagiellonian University Medical College, Department of Metabolic Diseases and Diabetology, Krakow, Poland
| | - Damian Ucieklak
- Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Poland.,Jagiellonian University Medical College, Department of Metabolic Diseases and Diabetology, Krakow, Poland
| | - Magdalena Wilk
- Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Poland.,Jagiellonian University Medical College, Department of Metabolic Diseases and Diabetology, Krakow, Poland
| | - Kamila Pośpiech
- Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Poland.,Jagiellonian University Medical College, Department of Metabolic Diseases and Diabetology, Krakow, Poland
| | - Patrycja Lechowicz
- Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Poland.,Jagiellonian University Medical College, Department of Metabolic Diseases and Diabetology, Krakow, Poland
| | - Karol Kasprzycki
- Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Poland.,Jagiellonian University Medical College, Department of Metabolic Diseases and Diabetology, Krakow, Poland
| | - Marianna Kopka
- Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Poland.,Jagiellonian University Medical College, Department of Metabolic Diseases and Diabetology, Krakow, Poland
| | - Jerzy Hohendorff
- Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Poland.,Jagiellonian University Medical College, Department of Metabolic Diseases and Diabetology, Krakow, Poland
| | - Barbara Katra
- Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Poland.,Jagiellonian University Medical College, Department of Metabolic Diseases and Diabetology, Krakow, Poland
| | - Małgorzata Kostrzycka
- Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Poland.,Jagiellonian University Medical College, Department of Metabolic Diseases and Diabetology, Krakow, Poland
| | - Michalina Adamczyk
- Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Poland.,Jagiellonian University Medical College, Department of Metabolic Diseases and Diabetology, Krakow, Poland
| | - Paulina Surowiec
- Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Poland.,Jagiellonian University Medical College, Department of Metabolic Diseases and Diabetology, Krakow, Poland
| | - Monika Rybicka
- Jagiellonian University Medical College, Department of Internal Medicine and Gerontology, Krakow, Poland.,Department of Internal Medicine and Gerontology, University Hospital in Krakow, Poland
| | - Jolanta Walczewska
- Jagiellonian University Medical College, Department of Internal Medicine and Gerontology, Krakow, Poland.,Department of Internal Medicine and Gerontology, University Hospital in Krakow, Poland
| | - Barbara Kamińska
- Jagiellonian University Medical College, Department of Internal Medicine and Gerontology, Krakow, Poland.,Department of Internal Medicine and Gerontology, University Hospital in Krakow, Poland
| | - Ewelina Piętak
- Jagiellonian University Medical College, Department of Internal Medicine and Gerontology, Krakow, Poland.,Department of Internal Medicine and Gerontology, University Hospital in Krakow, Poland
| | - Paweł Bryniarski
- Jagiellonian University Medical College, Department of Internal Medicine and Gerontology, Krakow, Poland.,Department of Internal Medicine and Gerontology, University Hospital in Krakow, Poland.,Jagiellonian University Medical College, Department of Immunology, Krakow, Poland
| | - Monika Marona
- Jagiellonian University Medical College, Department of Neurology, Krakow, Poland.,Department of Neurology, University Hospital in Krakow, Poland
| | - Maciej Motyl
- Department of Neurology, University Hospital in Krakow, Poland
| | - Alicja Kępińska-Wnuk
- Jagiellonian University Medical College, Department of Neurology, Krakow, Poland.,Department of Neurology, University Hospital in Krakow, Poland
| | | | - Klaudia Nowak
- Jagiellonian University Medical College, Department of Neurology, Krakow, Poland.,Department of Neurology, University Hospital in Krakow, Poland
| | | | | | - Mateusz Dwojak
- Department of Neurology, University Hospital in Krakow, Poland
| | | | - Kamil Wężyk
- Department of Neurology, University Hospital in Krakow, Poland
| | | | - Agnieszka Pułyk
- Department of Neurology, University Hospital in Krakow, Poland
| | - Aleksander Garlicki
- Department of Infectious Diseases, University Hospital in Krakow, Poland.,Jagiellonian University Medical College, Department of Infectious and Tropical Diseases, Krakow, Poland
| | - Tomasz Grodzicki
- Jagiellonian University Medical College, Department of Internal Medicine and Gerontology, Krakow, Poland.,Department of Internal Medicine and Gerontology, University Hospital in Krakow, Poland
| | - Maciej Małecki
- Jagiellonian University Medical College, Department of Metabolic Diseases and Diabetology, Krakow, Poland.,Department of Metabolic Diseases and Diabetology, University Hospital in Krakow, Poland
| | - Agnieszka Słowik
- Department of Neurology, University Hospital in Krakow, Poland.,Jagiellonian University Medical College, Department of Neurology, Krakow, Poland
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