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Neurologic Manifestations of Coronavirus Disease 2019 in Children: An Iranian Hospital-Based Study Publisher Pubmed



Memar EHE1 ; Heidari M2, 3 ; Ghabeli H2 ; Pourbakhtyaran E2 ; Haghighi R2 ; Hosseiny SMM2 ; Mamishi S4, 5 ; Mahmoudi S5 ; Eshaghi H4 ; Tavasoli AR2, 3 ; Mohammadi M2 ; Badv RS2 ; Zamani G2 ; Akbari MG6 Show All Authors
Authors
  1. Memar EHE1
  2. Heidari M2, 3
  3. Ghabeli H2
  4. Pourbakhtyaran E2
  5. Haghighi R2
  6. Hosseiny SMM2
  7. Mamishi S4, 5
  8. Mahmoudi S5
  9. Eshaghi H4
  10. Tavasoli AR2, 3
  11. Mohammadi M2
  12. Badv RS2
  13. Zamani G2
  14. Akbari MG6
  15. Yarali B2
  16. Shirzadi R7
  17. Mohammadpour M8
  18. Yaghmaei B8
  19. Ekbatani MS8
  20. Najafi Z8
  21. Ashrafi MR2, 9

Source: Archives of Iranian Medicine Published:2023


Abstract

Background: COVID-19 infection and its neurological manifestations were seen in children although less common than adults. The aim of this study was to determine the frequency of different types of neurologic findings of hospitalized children with COVID-19. Methods: This retrospective study was performed on hospitalized pediatric patients aged ≤ 18 years with confirmed SARS-CoV-2 at Children's Medical Center Hospital. Neurological manifestations were defined as the presence of any of the following symptoms: seizure, altered mental status, behavioral/personality change, ataxia, stroke, muscle weakness, smell and taste dysfunctions, and focal neurological disorders. Results: Fifty-four children with COVID-19 were admitted and their mean age was 6.94 ± 4.06 years. Thirty-four of them (63%) were male. The most frequent neurological manifestation was seizure (19 [45%]) followed by muscle weakness (11 [26%]), loss of consciousness (10 [23%]), and focal neurological disorders (10 [23%]). Other neurological manifestations consisted of headache (n = 7), movement disorders (n = 6), behavioral/personality change (n = 5), ataxia (n = 3), and stroke (n = 3). Twenty-nine percent of our patients had leukocytosis. A neutrophil count above 70% was seen in 31% of participants. Among our patients, 81% had a positive reverse-transcription polymerase chain reaction (RT-PCR) test for SARS-CoV-2. Conclusion: During the current pandemic outbreak, hospitalized children with COVID-19 should be evaluated for neurological signs because it is common among them and should not be under-estimated. © 2023 Academy of Medical Sciences of I.R. Iran. All rights reserved.
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