The international European Academy of Neurology survey on neurological symptoms in patients with COVID-19 infection.
Identifieur interne : 000408 ( Main/Exploration ); précédent : 000407; suivant : 000409The international European Academy of Neurology survey on neurological symptoms in patients with COVID-19 infection.
Auteurs : E. Moro [France] ; A. Priori [Italie] ; E. Beghi [Italie] ; R. Helbok [Autriche] ; L. Campiglio [Italie] ; C L Bassetti [Suisse] ; E. Bianchi [Italie] ; L F Maia [Portugal] ; S. Ozturk [Turquie] ; F. Cavallieri [Italie] ; M. Zedde [Italie] ; J. Sellner [Autriche, Allemagne] ; D. Bereczki [Hongrie] ; M. Rakusa [Slovénie] ; G. Di Liberto [Suisse] ; A. Sauerbier [Allemagne, Royaume-Uni] ; A. Pisani [Italie] ; A. Macerollo [Royaume-Uni] ; R. Soffietti [Italie] ; P. Taba [Estonie] ; M. Crean [Autriche] ; A. Twardzik [Autriche] ; C. Oreja-Guevara [Espagne] ; B. Bodini [France] ; T M Jenkins [Royaume-Uni] ; T J Von Oertzen [Autriche]Source :
- European journal of neurology [ 1468-1331 ] ; 2020.
Abstract
BACKGROUND AND PURPOSE
Although the main clinical features of COVID-19 infection are pulmonary, several associated neurological signs, symptoms and diseases are emerging. The incidence and characteristics of neurological complications are unclear. For this reason, the European Academy of Neurology (EAN) core COVID-19 Task Force initiated a survey on neurological symptoms observed in patients with COVID-19 infection.
METHODS
A 17-question online survey was made available on the EAN website and distributed to EAN members and other worldwide physicians starting on 9 April 2020.
RESULTS
By 27 April 2020, proper data were collected from 2343 responders (out of 4199), of whom 82.0% were neurologists, mostly from Europe. Most responders (74.7%) consulted patients with COVID-19 mainly in emergency rooms and in COVID-19 units. The majority (67.0%) had evaluated fewer than 10 patients with neurological manifestations of COVID-19 (neuro COVID-19). The most frequently reported neurological findings were headache (61.9%), myalgia (50.4%), anosmia (49.2%), ageusia (39.8%), impaired consciousness (29.3%) and psychomotor agitation (26.7%). Encephalopathy and acute cerebrovascular disorders were reported at 21.0%. Neurological manifestations were generally interpreted as being possibly related to COVID-19; they were most commonly recognized in patients with multiple general symptoms and occurred at any time during infection.
CONCLUSION
Neurologists are currently and actively involved in the management of neurological issues related to the COVID-19 pandemic. This survey justifies setting up a prospective registry to better capture the prevalence of patients with neuro COVID-19, neurological disease characteristics and the contribution of neurological manifestations to outcome.
DOI: 10.1111/ene.14407
PubMed: 32558002
PubMed Central: PMC7323212
Affiliations:
- Allemagne, Autriche, Espagne, Estonie, France, Hongrie, Italie, Portugal, Royaume-Uni, Slovénie, Suisse, Turquie
- Angleterre, Auvergne-Rhône-Alpes, Bavière, Canton de Berne, Communauté de Madrid, District de Haute-Bavière, Grand Londres, Hongrie centrale, Latium, Lombardie, Piémont, Rhône-Alpes, Tyrol (Land), Vienne (Autriche), Île-de-France
- Berne, Budapest, Grenoble, Innsbruck, Londres, Madrid, Milan, Munich, Paris, Rome, Turin, Vienne (Autriche)
- Université complutense de Madrid, Université de Berne, Université de médecine d'Innsbruck, Université technique de Munich
Links toward previous steps (curation, corpus...)
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Sellner</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Landesklinikum Mistelbach-Gänserndorf, Mistelbach, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Neurology, Landesklinikum Mistelbach-Gänserndorf, Mistelbach</wicri:regionArea><wicri:noRegion>Mistelbach</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Christian Doppler Medical Center, Paracelsus Medical University, Salzburg, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Neurology, Christian Doppler Medical Center, Paracelsus Medical University, Salzburg</wicri:regionArea><wicri:noRegion>Salzburg</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Neurology, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, Klinikum rechts der Isar, Technische Universität München, Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName><orgName type="university">Université technique de Munich</orgName></affiliation></author><author><name sortKey="Bereczki, D" sort="Bereczki, D" uniqKey="Bereczki D" first="D" last="Bereczki">D. Bereczki</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, Semmelweis University, Budapest, Hungary.</nlm:affiliation><country xml:lang="fr">Hongrie</country><wicri:regionArea>Department of Neurology, Semmelweis University, Budapest</wicri:regionArea><placeName><settlement type="city">Budapest</settlement><region nuts="2">Hongrie centrale</region></placeName></affiliation></author><author><name sortKey="Rakusa, M" sort="Rakusa, M" uniqKey="Rakusa M" first="M" last="Rakusa">M. Rakusa</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, University Medical Centre Maribor, Maribor, Slovenia.</nlm:affiliation><country xml:lang="fr">Slovénie</country><wicri:regionArea>Department of Neurology, University Medical Centre Maribor, Maribor</wicri:regionArea><wicri:noRegion>Maribor</wicri:noRegion></affiliation></author><author><name sortKey="Di Liberto, G" sort="Di Liberto, G" uniqKey="Di Liberto G" first="G" last="Di Liberto">G. Di Liberto</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pathology and Immunology, Geneva Faculty of Medicine, Geneva, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Department of Pathology and Immunology, Geneva Faculty of Medicine, Geneva</wicri:regionArea><wicri:noRegion>Geneva</wicri:noRegion></affiliation></author><author><name sortKey="Sauerbier, A" sort="Sauerbier, A" uniqKey="Sauerbier A" first="A" last="Sauerbier">A. Sauerbier</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, University Hospital Cologne, Cologne, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, University Hospital Cologne, Cologne</wicri:regionArea><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:affiliation>National Parkinson Foundation International Centre of Excellence, King's College Hospital, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>National Parkinson Foundation International Centre of Excellence, King's College Hospital, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Pisani, A" sort="Pisani, A" uniqKey="Pisani A" first="A" last="Pisani">A. Pisani</name><affiliation wicri:level="3"><nlm:affiliation>Neurology, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Neurology, Department of Systems Medicine, University of Rome Tor Vergata, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Macerollo, A" sort="Macerollo, A" uniqKey="Macerollo A" first="A" last="Macerollo">A. Macerollo</name><affiliation wicri:level="1"><nlm:affiliation>Walton Centre NHS Foundation Trust, Liverpool, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Walton Centre NHS Foundation Trust, Liverpool</wicri:regionArea><wicri:noRegion>Liverpool</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>School of Psychology, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>School of Psychology, Faculty of Health and Life Sciences, University of Liverpool, Liverpool</wicri:regionArea><wicri:noRegion>Liverpool</wicri:noRegion></affiliation></author><author><name sortKey="Soffietti, R" sort="Soffietti, R" uniqKey="Soffietti R" first="R" last="Soffietti">R. Soffietti</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neuroscience, Division of Neuro-Oncology, University of Turin, Turin, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neuroscience, Division of Neuro-Oncology, University of Turin, Turin</wicri:regionArea><placeName><settlement type="city">Turin</settlement><region type="région" nuts="2">Piémont</region></placeName></affiliation></author><author><name sortKey="Taba, P" sort="Taba, P" uniqKey="Taba P" first="P" last="Taba">P. Taba</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology and Neurosurgery, Institute of Clinical Medicine, University of Tartu, Estonia.</nlm:affiliation><country xml:lang="fr">Estonie</country><wicri:regionArea>Department of Neurology and Neurosurgery, Institute of Clinical Medicine, University of Tartu</wicri:regionArea><wicri:noRegion>University of Tartu</wicri:noRegion></affiliation></author><author><name sortKey="Crean, M" sort="Crean, M" uniqKey="Crean M" first="M" last="Crean">M. Crean</name><affiliation wicri:level="3"><nlm:affiliation>European Academy of Neurology, Head Office, Vienna, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>European Academy of Neurology, Head Office, Vienna</wicri:regionArea><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Twardzik, A" sort="Twardzik, A" uniqKey="Twardzik A" first="A" last="Twardzik">A. Twardzik</name><affiliation wicri:level="3"><nlm:affiliation>European Academy of Neurology, Head Office, Vienna, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>European Academy of Neurology, Head Office, Vienna</wicri:regionArea><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Oreja Guevara, C" sort="Oreja Guevara, C" uniqKey="Oreja Guevara C" first="C" last="Oreja-Guevara">C. Oreja-Guevara</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, Hospital Clínico San Carlos, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Neurology, Hospital Clínico San Carlos, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>Departamento de Medicina, Facultad de Medicina, Universidad Complutense de Madrid (UCM), Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Departamento de Medicina, Facultad de Medicina, Universidad Complutense de Madrid (UCM), Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName><orgName type="university">Université complutense de Madrid</orgName></affiliation><affiliation wicri:level="3"><nlm:affiliation>IdISSC, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>IdISSC, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Bodini, B" sort="Bodini, B" uniqKey="Bodini B" first="B" last="Bodini">B. Bodini</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, Sorbonne University, Saint-Antoine Hospital, APHP, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Neurology, Sorbonne University, Saint-Antoine Hospital, APHP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Jenkins, T M" sort="Jenkins, T M" uniqKey="Jenkins T" first="T M" last="Jenkins">T M Jenkins</name><affiliation wicri:level="1"><nlm:affiliation>Sheffield Institute for Translational Neuroscience, University of Sheffield, and Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Sheffield Institute for Translational Neuroscience, University of Sheffield, and Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield</wicri:regionArea><wicri:noRegion>Sheffield</wicri:noRegion></affiliation></author><author><name sortKey="Von Oertzen, T J" sort="Von Oertzen, T J" uniqKey="Von Oertzen T" first="T J" last="Von Oertzen">T J Von Oertzen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology 1, Kepler Universitätklinikum, Linz, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Neurology 1, Kepler Universitätklinikum, Linz</wicri:regionArea><wicri:noRegion>Linz</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32558002</idno><idno type="pmid">32558002</idno><idno type="doi">10.1111/ene.14407</idno><idno type="pmc">PMC7323212</idno><idno type="wicri:Area/Main/Corpus">000D15</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000D15</idno><idno type="wicri:Area/Main/Curation">000D15</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000D15</idno><idno type="wicri:Area/Main/Exploration">000D15</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The international European Academy of Neurology survey on neurological symptoms in patients with COVID-19 infection.</title><author><name sortKey="Moro, E" sort="Moro, E" uniqKey="Moro E" first="E" last="Moro">E. Moro</name><affiliation wicri:level="3"><nlm:affiliation>Division of Neurology, CHU of Grenoble, Grenoble Alpes University, Grenoble Institute of Neurosciences, Grenoble, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Division of Neurology, CHU of Grenoble, Grenoble Alpes University, Grenoble Institute of Neurosciences, Grenoble</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Grenoble</settlement></placeName></affiliation></author><author><name sortKey="Priori, A" sort="Priori, A" uniqKey="Priori A" first="A" last="Priori">A. Priori</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, Division of Neurology, 'Aldo Ravelli' Research Center, University of Milan and ASST Santi Paolo e Carlo, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neurology, Division of Neurology, 'Aldo Ravelli' Research Center, University of Milan and ASST Santi Paolo e Carlo, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Beghi, E" sort="Beghi, E" uniqKey="Beghi E" first="E" last="Beghi">E. Beghi</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neuroscience, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neuroscience, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Helbok, R" sort="Helbok, R" uniqKey="Helbok R" first="R" last="Helbok">R. Helbok</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Neurology, Medical University of Innsbruck, Innsbruck</wicri:regionArea><orgName type="university">Université de médecine d'Innsbruck</orgName><placeName><settlement type="city">Innsbruck</settlement><region nuts="2" type="region">Tyrol (Land)</region></placeName></affiliation></author><author><name sortKey="Campiglio, L" sort="Campiglio, L" uniqKey="Campiglio L" first="L" last="Campiglio">L. Campiglio</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, Division of Neurology, 'Aldo Ravelli' Research Center, University of Milan and ASST Santi Paolo e Carlo, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neurology, Division of Neurology, 'Aldo Ravelli' Research Center, University of Milan and ASST Santi Paolo e Carlo, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Bassetti, C L" sort="Bassetti, C L" uniqKey="Bassetti C" first="C L" last="Bassetti">C L Bassetti</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurology, University of Bern, Inselspital, Bern, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Department of Neurology, University of Bern, Inselspital, Bern</wicri:regionArea><placeName><settlement type="city">Berne</settlement><region type="région" nuts="3">Canton de Berne</region></placeName><orgName type="university">Université de Berne</orgName></affiliation></author><author><name sortKey="Bianchi, E" sort="Bianchi, E" uniqKey="Bianchi E" first="E" last="Bianchi">E. Bianchi</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neuroscience, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neuroscience, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Maia, L F" sort="Maia, L F" uniqKey="Maia L" first="L F" last="Maia">L F Maia</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Centro Hospitalar Universitário do Porto, Porto, Portugal.</nlm:affiliation><country xml:lang="fr">Portugal</country><wicri:regionArea>Department of Neurology, Centro Hospitalar Universitário do Porto, Porto</wicri:regionArea><wicri:noRegion>Porto</wicri:noRegion></affiliation></author><author><name sortKey="Ozturk, S" sort="Ozturk, S" uniqKey="Ozturk S" first="S" last="Ozturk">S. Ozturk</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Faculty of Medicine, Selcuk University, Konya, Turkey.</nlm:affiliation><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Neurology, Faculty of Medicine, Selcuk University, Konya</wicri:regionArea><wicri:noRegion>Konya</wicri:noRegion></affiliation></author><author><name sortKey="Cavallieri, F" sort="Cavallieri, F" uniqKey="Cavallieri F" first="F" last="Cavallieri">F. Cavallieri</name><affiliation wicri:level="1"><nlm:affiliation>Neurology Unit, Neuromotor and Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Neurology Unit, Neuromotor and Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia</wicri:regionArea><wicri:noRegion>Azienda USL-IRCCS di Reggio Emilia</wicri:noRegion></affiliation></author><author><name sortKey="Zedde, M" sort="Zedde, M" uniqKey="Zedde M" first="M" last="Zedde">M. Zedde</name><affiliation wicri:level="1"><nlm:affiliation>Neurology Unit, Neuromotor and Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Neurology Unit, Neuromotor and Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia</wicri:regionArea><wicri:noRegion>Azienda USL-IRCCS di Reggio Emilia</wicri:noRegion></affiliation></author><author><name sortKey="Sellner, J" sort="Sellner, J" uniqKey="Sellner J" first="J" last="Sellner">J. Sellner</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Landesklinikum Mistelbach-Gänserndorf, Mistelbach, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Neurology, Landesklinikum Mistelbach-Gänserndorf, Mistelbach</wicri:regionArea><wicri:noRegion>Mistelbach</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Christian Doppler Medical Center, Paracelsus Medical University, Salzburg, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Neurology, Christian Doppler Medical Center, Paracelsus Medical University, Salzburg</wicri:regionArea><wicri:noRegion>Salzburg</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Neurology, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, Klinikum rechts der Isar, Technische Universität München, Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName><orgName type="university">Université technique de Munich</orgName></affiliation></author><author><name sortKey="Bereczki, D" sort="Bereczki, D" uniqKey="Bereczki D" first="D" last="Bereczki">D. Bereczki</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, Semmelweis University, Budapest, Hungary.</nlm:affiliation><country xml:lang="fr">Hongrie</country><wicri:regionArea>Department of Neurology, Semmelweis University, Budapest</wicri:regionArea><placeName><settlement type="city">Budapest</settlement><region nuts="2">Hongrie centrale</region></placeName></affiliation></author><author><name sortKey="Rakusa, M" sort="Rakusa, M" uniqKey="Rakusa M" first="M" last="Rakusa">M. Rakusa</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, University Medical Centre Maribor, Maribor, Slovenia.</nlm:affiliation><country xml:lang="fr">Slovénie</country><wicri:regionArea>Department of Neurology, University Medical Centre Maribor, Maribor</wicri:regionArea><wicri:noRegion>Maribor</wicri:noRegion></affiliation></author><author><name sortKey="Di Liberto, G" sort="Di Liberto, G" uniqKey="Di Liberto G" first="G" last="Di Liberto">G. Di Liberto</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pathology and Immunology, Geneva Faculty of Medicine, Geneva, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Department of Pathology and Immunology, Geneva Faculty of Medicine, Geneva</wicri:regionArea><wicri:noRegion>Geneva</wicri:noRegion></affiliation></author><author><name sortKey="Sauerbier, A" sort="Sauerbier, A" uniqKey="Sauerbier A" first="A" last="Sauerbier">A. Sauerbier</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, University Hospital Cologne, Cologne, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, University Hospital Cologne, Cologne</wicri:regionArea><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:affiliation>National Parkinson Foundation International Centre of Excellence, King's College Hospital, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>National Parkinson Foundation International Centre of Excellence, King's College Hospital, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Pisani, A" sort="Pisani, A" uniqKey="Pisani A" first="A" last="Pisani">A. Pisani</name><affiliation wicri:level="3"><nlm:affiliation>Neurology, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Neurology, Department of Systems Medicine, University of Rome Tor Vergata, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Macerollo, A" sort="Macerollo, A" uniqKey="Macerollo A" first="A" last="Macerollo">A. Macerollo</name><affiliation wicri:level="1"><nlm:affiliation>Walton Centre NHS Foundation Trust, Liverpool, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Walton Centre NHS Foundation Trust, Liverpool</wicri:regionArea><wicri:noRegion>Liverpool</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>School of Psychology, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>School of Psychology, Faculty of Health and Life Sciences, University of Liverpool, Liverpool</wicri:regionArea><wicri:noRegion>Liverpool</wicri:noRegion></affiliation></author><author><name sortKey="Soffietti, R" sort="Soffietti, R" uniqKey="Soffietti R" first="R" last="Soffietti">R. Soffietti</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neuroscience, Division of Neuro-Oncology, University of Turin, Turin, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neuroscience, Division of Neuro-Oncology, University of Turin, Turin</wicri:regionArea><placeName><settlement type="city">Turin</settlement><region type="région" nuts="2">Piémont</region></placeName></affiliation></author><author><name sortKey="Taba, P" sort="Taba, P" uniqKey="Taba P" first="P" last="Taba">P. Taba</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology and Neurosurgery, Institute of Clinical Medicine, University of Tartu, Estonia.</nlm:affiliation><country xml:lang="fr">Estonie</country><wicri:regionArea>Department of Neurology and Neurosurgery, Institute of Clinical Medicine, University of Tartu</wicri:regionArea><wicri:noRegion>University of Tartu</wicri:noRegion></affiliation></author><author><name sortKey="Crean, M" sort="Crean, M" uniqKey="Crean M" first="M" last="Crean">M. Crean</name><affiliation wicri:level="3"><nlm:affiliation>European Academy of Neurology, Head Office, Vienna, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>European Academy of Neurology, Head Office, Vienna</wicri:regionArea><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Twardzik, A" sort="Twardzik, A" uniqKey="Twardzik A" first="A" last="Twardzik">A. Twardzik</name><affiliation wicri:level="3"><nlm:affiliation>European Academy of Neurology, Head Office, Vienna, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>European Academy of Neurology, Head Office, Vienna</wicri:regionArea><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Oreja Guevara, C" sort="Oreja Guevara, C" uniqKey="Oreja Guevara C" first="C" last="Oreja-Guevara">C. Oreja-Guevara</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, Hospital Clínico San Carlos, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Neurology, Hospital Clínico San Carlos, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>Departamento de Medicina, Facultad de Medicina, Universidad Complutense de Madrid (UCM), Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Departamento de Medicina, Facultad de Medicina, Universidad Complutense de Madrid (UCM), Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName><orgName type="university">Université complutense de Madrid</orgName></affiliation><affiliation wicri:level="3"><nlm:affiliation>IdISSC, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>IdISSC, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Bodini, B" sort="Bodini, B" uniqKey="Bodini B" first="B" last="Bodini">B. Bodini</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, Sorbonne University, Saint-Antoine Hospital, APHP, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Neurology, Sorbonne University, Saint-Antoine Hospital, APHP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Jenkins, T M" sort="Jenkins, T M" uniqKey="Jenkins T" first="T M" last="Jenkins">T M Jenkins</name><affiliation wicri:level="1"><nlm:affiliation>Sheffield Institute for Translational Neuroscience, University of Sheffield, and Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Sheffield Institute for Translational Neuroscience, University of Sheffield, and Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield</wicri:regionArea><wicri:noRegion>Sheffield</wicri:noRegion></affiliation></author><author><name sortKey="Von Oertzen, T J" sort="Von Oertzen, T J" uniqKey="Von Oertzen T" first="T J" last="Von Oertzen">T J Von Oertzen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology 1, Kepler Universitätklinikum, Linz, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Neurology 1, Kepler Universitätklinikum, Linz</wicri:regionArea><wicri:noRegion>Linz</wicri:noRegion></affiliation></author></analytic><series><title level="j">European journal of neurology</title><idno type="eISSN">1468-1331</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND AND PURPOSE</b></p><p>Although the main clinical features of COVID-19 infection are pulmonary, several associated neurological signs, symptoms and diseases are emerging. The incidence and characteristics of neurological complications are unclear. For this reason, the European Academy of Neurology (EAN) core COVID-19 Task Force initiated a survey on neurological symptoms observed in patients with COVID-19 infection.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A 17-question online survey was made available on the EAN website and distributed to EAN members and other worldwide physicians starting on 9 April 2020.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>By 27 April 2020, proper data were collected from 2343 responders (out of 4199), of whom 82.0% were neurologists, mostly from Europe. Most responders (74.7%) consulted patients with COVID-19 mainly in emergency rooms and in COVID-19 units. The majority (67.0%) had evaluated fewer than 10 patients with neurological manifestations of COVID-19 (neuro COVID-19). The most frequently reported neurological findings were headache (61.9%), myalgia (50.4%), anosmia (49.2%), ageusia (39.8%), impaired consciousness (29.3%) and psychomotor agitation (26.7%). Encephalopathy and acute cerebrovascular disorders were reported at 21.0%. Neurological manifestations were generally interpreted as being possibly related to COVID-19; they were most commonly recognized in patients with multiple general symptoms and occurred at any time during infection.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Neurologists are currently and actively involved in the management of neurological issues related to the COVID-19 pandemic. This survey justifies setting up a prospective registry to better capture the prevalence of patients with neuro COVID-19, neurological disease characteristics and the contribution of neurological manifestations to outcome.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32558002</PMID><DateRevised><Year>2020</Year><Month>08</Month><Day>03</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1468-1331</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Jun</Month><Day>17</Day></PubDate></JournalIssue><Title>European journal of neurology</Title><ISOAbbreviation>Eur. J. Neurol.</ISOAbbreviation></Journal><ArticleTitle>The international European Academy of Neurology survey on neurological symptoms in patients with COVID-19 infection.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1111/ene.14407</ELocationID><Abstract><AbstractText Label="BACKGROUND AND PURPOSE" NlmCategory="OBJECTIVE">Although the main clinical features of COVID-19 infection are pulmonary, several associated neurological signs, symptoms and diseases are emerging. The incidence and characteristics of neurological complications are unclear. For this reason, the European Academy of Neurology (EAN) core COVID-19 Task Force initiated a survey on neurological symptoms observed in patients with COVID-19 infection.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A 17-question online survey was made available on the EAN website and distributed to EAN members and other worldwide physicians starting on 9 April 2020.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">By 27 April 2020, proper data were collected from 2343 responders (out of 4199), of whom 82.0% were neurologists, mostly from Europe. Most responders (74.7%) consulted patients with COVID-19 mainly in emergency rooms and in COVID-19 units. The majority (67.0%) had evaluated fewer than 10 patients with neurological manifestations of COVID-19 (neuro COVID-19). The most frequently reported neurological findings were headache (61.9%), myalgia (50.4%), anosmia (49.2%), ageusia (39.8%), impaired consciousness (29.3%) and psychomotor agitation (26.7%). Encephalopathy and acute cerebrovascular disorders were reported at 21.0%. Neurological manifestations were generally interpreted as being possibly related to COVID-19; they were most commonly recognized in patients with multiple general symptoms and occurred at any time during infection.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Neurologists are currently and actively involved in the management of neurological issues related to the COVID-19 pandemic. This survey justifies setting up a prospective registry to better capture the prevalence of patients with neuro COVID-19, neurological disease characteristics and the contribution of neurological manifestations to outcome.</AbstractText><CopyrightInformation>© 2020 European Academy of Neurology.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Moro</LastName><ForeName>E</ForeName><Initials>E</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-7968-5908</Identifier><AffiliationInfo><Affiliation>Division of Neurology, CHU of Grenoble, Grenoble Alpes University, Grenoble Institute of Neurosciences, Grenoble, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Priori</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Neurology, Division of Neurology, 'Aldo Ravelli' Research Center, University of Milan and ASST Santi Paolo e Carlo, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Beghi</LastName><ForeName>E</ForeName><Initials>E</Initials><Identifier Source="ORCID">https://orcid.org/0000-0003-2542-0469</Identifier><AffiliationInfo><Affiliation>Department of Neuroscience, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Helbok</LastName><ForeName>R</ForeName><Initials>R</Initials><Identifier Source="ORCID">https://orcid.org/0000-0001-5682-0145</Identifier><AffiliationInfo><Affiliation>Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Campiglio</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Neurology, Division of Neurology, 'Aldo Ravelli' Research Center, University of Milan and ASST Santi Paolo e Carlo, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bassetti</LastName><ForeName>C L</ForeName><Initials>CL</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-4535-0245</Identifier><AffiliationInfo><Affiliation>Department of Neurology, University of Bern, Inselspital, Bern, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bianchi</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Neuroscience, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Maia</LastName><ForeName>L F</ForeName><Initials>LF</Initials><AffiliationInfo><Affiliation>Department of Neurology, Centro Hospitalar Universitário do Porto, Porto, Portugal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ozturk</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Neurology, Faculty of Medicine, Selcuk University, Konya, Turkey.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cavallieri</LastName><ForeName>F</ForeName><Initials>F</Initials><Identifier Source="ORCID">https://orcid.org/0000-0001-5836-1982</Identifier><AffiliationInfo><Affiliation>Neurology Unit, Neuromotor and Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zedde</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Neurology Unit, Neuromotor and Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sellner</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Neurology, Landesklinikum Mistelbach-Gänserndorf, Mistelbach, Austria.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Neurology, Christian Doppler Medical Center, Paracelsus Medical University, Salzburg, Austria.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Neurology, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bereczki</LastName><ForeName>D</ForeName><Initials>D</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-8374-0500</Identifier><AffiliationInfo><Affiliation>Department of Neurology, Semmelweis University, Budapest, Hungary.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rakusa</LastName><ForeName>M</ForeName><Initials>M</Initials><Identifier Source="ORCID">https://orcid.org/0000-0003-4433-3985</Identifier><AffiliationInfo><Affiliation>Department of Neurology, University Medical Centre Maribor, Maribor, Slovenia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Di Liberto</LastName><ForeName>G</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Pathology and Immunology, Geneva Faculty of Medicine, Geneva, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sauerbier</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Neurology, University Hospital Cologne, Cologne, Germany.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>National Parkinson Foundation International Centre of Excellence, King's College Hospital, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pisani</LastName><ForeName>A</ForeName><Initials>A</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-8432-594X</Identifier><AffiliationInfo><Affiliation>Neurology, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Macerollo</LastName><ForeName>A</ForeName><Initials>A</Initials><Identifier Source="ORCID">https://orcid.org/0000-0003-4322-2706</Identifier><AffiliationInfo><Affiliation>Walton Centre NHS Foundation Trust, Liverpool, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>School of Psychology, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Soffietti</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Neuroscience, Division of Neuro-Oncology, University of Turin, Turin, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Taba</LastName><ForeName>P</ForeName><Initials>P</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-5439-1022</Identifier><AffiliationInfo><Affiliation>Department of Neurology and Neurosurgery, Institute of Clinical Medicine, University of Tartu, Estonia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Crean</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>European Academy of Neurology, Head Office, Vienna, Austria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Twardzik</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>European Academy of Neurology, Head Office, Vienna, Austria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Oreja-Guevara</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Neurology, Hospital Clínico San Carlos, Madrid, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Departamento de Medicina, Facultad de Medicina, Universidad Complutense de Madrid (UCM), Madrid, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>IdISSC, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bodini</LastName><ForeName>B</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Neurology, Sorbonne University, Saint-Antoine Hospital, APHP, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jenkins</LastName><ForeName>T M</ForeName><Initials>TM</Initials><AffiliationInfo><Affiliation>Sheffield Institute for Translational Neuroscience, University of Sheffield, and Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>von Oertzen</LastName><ForeName>T J</ForeName><Initials>TJ</Initials><Identifier Source="ORCID">https://orcid.org/0000-0003-2164-7842</Identifier><AffiliationInfo><Affiliation>Department of Neurology 1, Kepler Universitätklinikum, Linz, Austria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>EAN core COVID-19 Task 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