Insights into COVID-19 pathophysiology from a longitudinal multisystem report during acute infection.

Publication date: Oct 01, 2024

The Coronavirus disease 2019 (COVID-19), an illness caused by a SARS-CoV-2 viral infection, has been associated with neurological and neuropsychiatric disorders, revealing its impact beyond the respiratory system. Most related research involved individuals with post-acute or persistent symptoms of COVID-19, also referred to as long COVID or Post-Acute Sequelae of COVID-19 (PASC). In this longitudinal unique report, we aimed to describe the acute supraspinal and corticospinal changes and functional alterations induced by a COVID-19 infection using neuroimaging, neurophysiological and clinical assessment of a participant during acute infection, as compared to three other visits where the participant had no COVID-19. The results favor a multisystem impairment, impacting cortical activity, functional connectivity, and corticospinal excitability, as well as motor and cardiovascular function. The report suggests pathophysiological alteration and impairment already present at the acute stage, that if resolved tend to lead to a full clinical recovery. Such results could be also insightful into PASC symptomatology.

Concepts Keywords
Coronavirus acute COVID-19
Insightful Acute Disease
Pathophysiology Adult
Stage case report
cortical activity
corticospinal excitability
COVID-19
Female
Humans
Longitudinal Studies
Magnetic Resonance Imaging
Male
Middle Aged
Post-Acute COVID-19 Syndrome
SARS-CoV-2

Semantics

Type Source Name
disease MESH COVID-19
disease VO report
disease IDO acute infection
disease MESH viral infection
disease MESH long COVID
disease MESH Sequelae
disease MESH infection
disease MESH Acute Disease

Original Article

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