• Stroke Vasc Neurol · Jun 2020

    Review

    Clinical time course of COVID-19, its neurological manifestation and some thoughts on its management.

    • Yifan Zhou, Wei Li, David Wang, Ling Mao, Huijuan Jin, Yanan Li, Candong Hong, Shengcai Chen, Jiang Chang, Quanwei He, Mengdie Wang, and Bo Hu.
    • Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
    • Stroke Vasc Neurol. 2020 Jun 1; 5 (2): 177-179.

    AbstractCoronavirus disease-2019 (COVID-19) has become a global pandemic. COVID-19 runs its course in two phases, the initial incubation phase and later clinical symptomatic phase. Patients in the initial incubation phase often have insidious clinical symptoms, but they are still highly contagious. At the later clinical symptomatic phase, the immune system is fully activated and the disease may enter the severe infection stage in this phase. Although many patients are known for their respiratory symptoms, they had neurological symptoms in their first 1-2 days of clinical symptomatic phase, and ischaemic stroke occurred 2 weeks after the onset of the clinical symptomatic phase. The key is to prevent a patient from progressing to this severe infection from mild infection. We are sharing our experience on prevention and management of COVID-19.© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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