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Original Article



Neurological Symptoms in SARS-CoV2 Positive Patients in Bosnia and Herzegovina

Merita Tiric Campara, Emir Tupkovic, Suljo Kunic, Amel Amidzic, Amra Salkic, Edina Djozic.




Abstract

Background: The most common symptoms of COVID-19 are fever and dry cough. Other symptoms that are less common and may affect some patients include muscle pain, headache, loss of taste or smell. At least one subjective neurological symptom has been reported in over 90% of patients with COVID-19, which highlights the importance of subsequent neurological implications of the disease. Objective: To examine the frequency of neurologic symptoms during COVID-19 infection in patients in Bosnia and Herzegovina. Methods: This study was conducted between November and December 2020. It was included 155 patients older than 18 years who had a positive PCR test for SARS COV 2 in 2020. All participants were underwent an anamnestic interview via an anonymous on line survey. They were well informed about the research and signed written informed consent. Results: 128 (82.6%) were women and 27 (17.4%) were men. The largest number of respondents (36.8%) was in the age range of 31-44 years of age. Among neurological symptoms complained by the whole group of patients, pain in muscles resulted as the most frequent symptom (94.2%); it was followed in order of frequency by headache (86.5%); loss of concentration 62%), anosmia and aguesia (59.4%); dizziness (54.20%), confussion (/155; 52.9%), loss of cordination (34,1%); paraesthesia in the hands and feet (29.3%). Only one patient experienced epilepsy (0,6%). Our patients did not have a stroke or inflammation of the brain parenchyma. Conclusion: Patients with confirmed COVID 19 infection often show neurological symptoms. These symptoms are manifested in different stages of the disease. This requires additional clinician caution and additional patient treatment.

Key words: COVID-19; Dysgeusia, Hyposmia, Neurological symptoms, Headache, SARS-CoV2 infection






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