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SARS-CoV-2 invasion of the central nervous: a brief review

Ruqaiyyah Siddiqui, Mohammad Ridwane Mungroo, Naveed Ahmed Khan

2021Hospital Practice23 citationsDOIOpen Access PDF

Abstract

There is increasing evidence of the ability of the novel coronavirus to invade the central nervous system (CNS). But how does a respiratory virus invade the highly protected CNS? Here, we reviewed available literature and case reports to determine CNS involvement in COVID-19, and to identify potential regions of the brain that may be affected by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its possible route of entry into the brain to identify its pathogenicity. Based on the symptoms, the parietal lobe and the cerebellum are the likely targets of SARS-CoV-2; however, further work is needed to elucidate this. The presence of ACE2, used by SARS-CoV-2 for cell entry, in the brain as well as detection of the virus in the cerebrospinal fluid, further assert that SARS-COV-2 targets the brain, and therefore, medical practitioners should take that into account when dealing with patients suffering from COVID-19.

Topics & Concepts

MedicineCentral nervous systemCoronavirusSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Coronavirus disease 2019 (COVID-19)VirusRespiratory systemCerebrospinal fluidNeuroscienceCoronaviridaeCerebellumVirologyPathologyBiologyDiseaseInternal medicineInfectious disease (medical specialty)Long-Term Effects of COVID-19COVID-19 Clinical Research StudiesInfectious Encephalopathies and Encephalitis