2021, Número 1
<< Anterior Siguiente >>
Invest Medicoquir 2021; 13 (1)
Guía para la realización de estudios neurofisiológicos y su utilidad durante una pandemia (COVID-19)
Valdés SRR, Vega TH
Idioma: Español
Referencias bibliográficas: 40
Paginas:
Archivo PDF: 227.35 Kb.
RESUMEN
Introducción. El brote viral ocurrido en Wuhan (China) debido a un agente viral perteneciente a la familia de los coronavirus ha dado lugar a la enfermedad llamada Corona Virus Disease 2019 (COVID 19) y se ha declarado por la Organización Mundial de la Salud (OMS) como una emergencia de salud internacional. Hasta la fecha no existe una vacuna contra la COVID-19 y la mortalidad mundial se calcula en alrededor de un 3%. Entre los síntomas causados podemos encontrar: fiebre, tos, diarrea y entidades como la neumonía. La afectación del sistema nervioso se plantea que se manifiesta como mareos, cefalea, trastornos de la conciencia, ataxia, convulsiones, trastornos de la visión, olfación, gustación, neuralgias y mialgias. Considerando estas ideas es posible que la labor del neurofisiólogo sea requerida en la realización de estudios.
Conclusiones. La neurofisiología clínica es una especialidad diagnóstica que frente a la pandemia de la COVID-19 tiene una utilidad limitada en el presente comparada con otras especialidades médicas, su implicación se encamina, aunque no se limita hacia la realización del Electro-encefalograma en Unidades de Cuidados Intensivos. El personal de Neurofisiología Clínica puede ser requerido y en su momento debe conocer y
aplicar las medidas de protección tanto para el propio personal como para el paciente. El papel del SARS-CoV2 en el sistema nervioso del cuerpo humano se encuentra bajo investigación. Futuras investigaciones serán necesarias para esclarecer el papel del SARS-CoV2 en el sistema nervioso del cuerpo humano, lo que determinará la implicación de la Neurofisiología Clínica cara a la COVID-19.
REFERENCIAS (EN ESTE ARTÍCULO)
Guan W-J, Ni Z-Y, Hu Y, Liang WH, Ou CQ, He JX et al. (2020) Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med [Epub ahead of print]. https://doi.org/10.1056/ NEJMoa2002032
Chen T, Wu D, Chen H, YanW, Yang D, Chen G et al. (2020) Clinical characteristics of 113 deceased patients with coronavirus disease 2019: retrospective study. BMJ 368:m1091. https://doi.org/10.1136/bmj.m1091
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y et al (2020) Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 395:497–506. https://doi.org/10.1016/S0140-6736(20)30183-5
Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J et al. (2020) Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA . J Am Med Assoc 323:1061–1069. https://doi.org/10.1001/jama.2020.1585
World Health Organization Q&A on coronaviruses (COVID-19) (2020) Available on https://www.who.int/news-room/q-a-detail/qa-coronaviruses
Coronavirus disease (COVID-19) Situation Report – 139 Data as received by WHO from national authorities by 10:00 CEST, 07 June 2020. https://covid.saude.gov.br/
Díaz-Canel-Bermúdez M, Núñez-Jover J. Gestión gubernamental y ciencia cubana en el enfrentamiento a la COVID-19. Anales de la Academia de Ciencias de Cuba [revista en Internet]. 2020 [citado 2020 Jun 15]; 10(2) Disponible en: http://www.revistaccuba.cu/index.php/revacc/article/view/881
Ramirez-Valles J, Breton E, H. Chae D, Haardörfer R, M. Kuhns L. The COVID-19 Pandemic: Everything Old Is New Again in Public Health Education. Editorial. Health Education & Behavior 1–3. 2020 Article reuse guidelines: https://sagepub.com/journals-permissions DOI: 10.1177/1090198120935067.
Dubbioso R, Nobile-Orazio E, Manganelli F, Santoro L, Briani C, Cocito D, Tedeschi G et al. Dealing with immune-mediated neuropathies during COVID-19 outbreak: practical recommendations from the task force of the Italian Society of Neurology (SIN), the Italian Society of Clinical Neurophysiology (SINC) and the Italian Peripheral Nervous System Association (ASNP). Neurological Sciences https://doi.org/10.1007/s10072-020-04448-9
Kothari Forrester A, Greenberg N, Sarkissian N, Tracy D K. COVID-19 and prisons: Providing mental health care for people in prison, minimising moral injury and psychological distress in mental health staff. Editorial .Medicine, Science and the Law 0(0) 1–3 2020 sagepub.com/journals-permissions DOI: 10.1177/0025802420929799 https://journals.sagepub.com/home/msl
Bohmwald K, Gálvez NMS, Ríos M, Kalergis AM. Neurologic Alterations Due to Respiratory Virus Infections. Front Cell Neurosci 2018; 12:386. https://doi.org/10.3389/fncel.2018.00386
Li Y-C, Bai W-Z, Hashikawa T. The neuroinvasive potential of SARS-CoV2 may play a role in the respiratory failure of COVID-19 patients. J Med Virol 2020. https://doi.org/10.1002/jmv.25728
Daniel Hornuss, Berit Lange, Nils Schröter, Siegbert Rieg, Winfried V. Kern, Dirk Wagner. Anosmia in COVID-19 patients. medRxiv preprint doi: https://doi.org/10.1101/2020.04.28.20083311
Verity R et al. Estimates of the severity of coronavirus disease 2019: a model-based analysis. Lancet Infect Dis 2020. https://doi.org/10.1016/S1473-3099(20)30243-7
Olfactory and gustatory dysfunctions as a clinical presentation of mild-to-moderate forms of the coronavirus disease (COVID. 19): a multicenter European study. Eur Arch Otorhinolaryngol 2020. https://doi.org/10.1007/s00405-020-05965-1
Fodoulian L, Tuberosa J, Rossier D, Landis B, Carleton A, Rodriguez I. SARS-CoV-2 receptor and entry genes are expressed by sustentacular cells in the human olfactory neuroepithelium. Neuroscience; 2020. https://doi.org/10.1101/2020.03.31.013268
Zhao H, Shen D, Zhou H, Liu J, Chen S (2020) Guillain-Barré syndrome associated with SARS-CoV-2 infection: causality or coincidence? Lancet Neurol S1474-4422:30109–30105. https://doi.org/10.1016/S1474-4422(20)30109-5
Gutiérrez-Ortiz C, Méndez A, Rodrigo-Rey S et al (2020) Miller fisher syndrome and polyneuritis cranialis in COVID-19. Neurol241. https://doi.org/10.1212/WNL.0000000000009619
Toscano G, Palmerini F, Ravaglia S et al (2020) Guillain–Barré syndrome associated with SARS-CoV-2. N Engl J Med. https://doi.org/10.1056/NEJMc2009191
Kim JE, Heo JH, Kim HO, Song SH, Park SS, Park TH et al. (2017) Neurological complications during treatment of middle east respiratory syndrome. J Clin Neurol 13:227–233. https://doi.org/10.3988/jcn.2017.13.3.227
P Anfinrud, CE Bax, V Stadnytskyi, A Bax. Could sars-cov-2 be transmitted via speech droplets? medRxiv (2020)
N Ferguson, et al., Report 9: Impact of non-pharmaceutical interventions (npis) to reduce covid19 mortality and healthcare demand (2020)
N van Doremalen, et al., Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. New Engl. J. Medicine 0, null (2020)
R Wölfel, et al., Virological assessment of hospitalized patients with covid-2019. Nature, 1–10 (2020)
L Zou, et al., SARS-CoV-2 Viral Load in Upper Respiratory Specimens of Infected Patients. New Engl. J. Medicine 382, 1177–1179 (2020)
Keung Cheng K, Hing Lam T, Chiu Leung C. Wearing face masks in the community during the COVID-19 pandemic: altruism and solidarity www.thelancet.com Published online April 16, 2020 https://doi.org/10.1016/S0140-6736(20)30918-1
Cowling BJ, Ali ST, Ng TW, et al. Impact assessment of non-pharmaceutical interventions against COVID-19 and influenza in Hong Kong: an observational study. MedRxiv 2020; published online March 16. https://doi.org/10.1101/2020.03.12.20034660 (preprint)
Normile D. Coronavirus cases have dropped sharply in South Korea. What’s the secret to its success? Science, March 17, 2020. https://www.sciencemag.org/news/2020/03/coronavirus-cases-have-dropped-sharplysouth korea-whats-secret-its-success# (accessed April 15, 2020)
Szczesniakb D, Ciulkowiczb M, Maciaszekb J, Misiaka B, Lucc D, Wieczorekb T et al. Psychopathological responses and face mask restrictions during the COVID-19 outbreak: Results from a nationwide survey. Brain, Behavior, and Immunity. https://doi.org/10.1016/j.bbi.2020.05.027 journal homepage: www.elsevier.com/locate/ybrbi. ARTICLE IN PRESS
Consumer Council Hong Kong, DIY Face Mask – 8 Steps in Making Protective Gear | Consumer Council (2020) [Online; accessed 19. Apr. 2020].
United States CDC, Coronavirus Disease 2019 (COVID-19) (2020) [Online; accessed 20. Apr. 2020].
Kangqi Ng, Beng Hoong Poon, Troy Hai Kiat Puar, Jessica Li Shan Quah, Wann Jia Loh, Yu Jun Wong. COVID-19 and the Risk to Health Care Workers: A Case Report. OBSERVATION: BRIEF RESEARCH REPORT. LETTERS Annals of Internal Medicine. doi:10.7326/L20-0175. 2020
Sánchez Fernández I et al. Time to electroencephalography is independently associated with outcome in critically ill neonates and children. Epilepsia 2017;58:420–8. https://doi.org/10.1111/epi.13653
San-Juan Dl , Ramos Jiménez C, Ximénez Camilli C, de la Cruz Reyes L A, Aguirre Galindo E G, Ramos Burbano G E et al. Guidance for clinical neurophysiology examination throughout the COVID-19 pandemic. Latin American chapter of the IFCN task force – COVID-19.
Clinical Neurophysiology 131 (2020) 1589–1598. Review. journal homepage: www.elsevier.com/locate/clinph
Skinner S et al. Medical error avoidance in intraoperative neurophysiological monitoring: The communication imperative. J Clin Neurophysiol 2017;34:477–83. https://doi.org/10.1097/WNP.0000000000000419
Canelli R et al. Barrier enclosure during endotracheal intubation. N Engl J Med 2020. https://doi.org/10.1056/NEJMc2007589. NEJMc2007589
World Health Organization. Rational use of personal protective equipment for coronavirus disease (COVID-19]. Interim guidance. 27 February 2020; 2020b. p. 1–7. Available at: https://apps.who.int/iris/bitstream/handle/10665/331215/WHO-2019-nCov-IPCPPE_use-2020.1-eng.pdf
World Health Organization. Situation Report-75 HIGHLIGHTS; 2020c. Availableat: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200404-sitrep-75-covid 19.pdf?sfvrsn=99251b2b_2
Lorenz C, S. Azevedo T, Chiaravalloti-Neto F. COVID-19 and dengue fever: A dangerous combination for the health system in Brazil. To the Editor. journal homepage: www.elsevier.com/locate/tmaid https://doi.org/10.1016/j.tmaid.2020.101659 2020, preprint