New-onset acute symptomatic seizure and risk factors in Corona Virus Disease 2019: A Retrospective Multicenter Study.
Identifieur interne : 000452 ( Main/Exploration ); précédent : 000451; suivant : 000453New-onset acute symptomatic seizure and risk factors in Corona Virus Disease 2019: A Retrospective Multicenter Study.
Auteurs : Lu Lu [République populaire de Chine] ; Weixi Xiong [République populaire de Chine] ; Dan Liu [République populaire de Chine] ; Jing Liu [République populaire de Chine] ; Dan Yang [République populaire de Chine] ; Nian Li [République populaire de Chine] ; Jie Mu [République populaire de Chine] ; Jian Guo [République populaire de Chine] ; Weimin Li [République populaire de Chine] ; Gang Wang [République populaire de Chine] ; Hui Gao [République populaire de Chine] ; Yingying Zhang [République populaire de Chine] ; Mintao Lin [République populaire de Chine] ; Lei Chen [République populaire de Chine] ; Sisi Shen [République populaire de Chine] ; Hesheng Zhang [République populaire de Chine] ; Josemir W. Sander [Royaume-Uni] ; Jianfei Luo [République populaire de Chine] ; Shengli Chen [République populaire de Chine] ; Dong Zhou [République populaire de Chine]Source :
- Epilepsia [ 1528-1167 ] ; 2020.
Abstract
Our aim was to clarify the incidence and risk of acute symptomatic seizures in people with coronavirus disease 2019 (COVID-19). This multicenter retrospective study enrolled people with COVID-19 from 18 January to 18 February 2020 at 42 government-designated hospitals in Hubei province, the epicenter of the epidemic in China; Sichuan province; and Chongqing municipality. Data were collected from medical records by 11 neurologists using a standard case report form. A total of 304 people were enrolled, of whom 108 had a severe condition. None in this cohort had a known history of epilepsy. Neither acute symptomatic seizures or status epilepticus were observed. Two people had seizure-like symptoms during hospitalization due to acute stress reaction and hypocalcemia, Eighty-four (27%) had brain insults or metabolic imbalances during the disease course known to increase the risk of seizures. There was no evidence suggesting an additional risk of acute symptomatic seizures in people with COVID-19.Neither the virus or potential risk factors for seizures seem to be significant risks for the occurrence of acute symptomatic seizures in COVID-19.
DOI: 10.1111/epi.16524
PubMed: 32304092
Affiliations:
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China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Pulmonary & Critical Care Medicine, West China Hospital, Sichuan University, Chengdu</wicri:regionArea><wicri:noRegion>Chengdu</wicri:noRegion></affiliation></author><author><name sortKey="Gao, Hui" sort="Gao, Hui" uniqKey="Gao H" first="Hui" last="Gao">Hui Gao</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, West China Hospital, Sichuan University, Chengdu</wicri:regionArea><wicri:noRegion>Chengdu</wicri:noRegion></affiliation></author><author><name sortKey="Zhang, Yingying" sort="Zhang, Yingying" uniqKey="Zhang Y" first="Yingying" last="Zhang">Yingying Zhang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, West China Hospital, Sichuan 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Chengdu, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, West China Hospital, Sichuan University, Chengdu</wicri:regionArea><wicri:noRegion>Chengdu</wicri:noRegion></affiliation></author><author><name sortKey="Shen, Sisi" sort="Shen, Sisi" uniqKey="Shen S" first="Sisi" last="Shen">Sisi Shen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, West China Hospital, Sichuan University, Chengdu</wicri:regionArea><wicri:noRegion>Chengdu</wicri:noRegion></affiliation></author><author><name sortKey="Zhang, Hesheng" sort="Zhang, Hesheng" uniqKey="Zhang H" first="Hesheng" last="Zhang">Hesheng Zhang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, West China Hospital, Sichuan University, Chengdu</wicri:regionArea><wicri:noRegion>Chengdu</wicri:noRegion></affiliation></author><author><name sortKey="Sander, Josemir W" sort="Sander, Josemir W" uniqKey="Sander J" first="Josemir W" last="Sander">Josemir W. 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Neurology, West China Hospital, Sichuan University, Chengdu, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, West China Hospital, Sichuan University, Chengdu</wicri:regionArea><wicri:noRegion>Chengdu</wicri:noRegion></affiliation></author><author><name sortKey="Liu, Dan" sort="Liu, Dan" uniqKey="Liu D" first="Dan" last="Liu">Dan Liu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pulmonary & Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Pulmonary & Critical Care Medicine, West China Hospital, Sichuan University, Chengdu</wicri:regionArea><wicri:noRegion>Chengdu</wicri:noRegion></affiliation></author><author><name sortKey="Liu, Jing" sort="Liu, Jing" uniqKey="Liu J" first="Jing" last="Liu">Jing Liu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Chongqing Three Gorges Central Hospital, Chongqing, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Chongqing Three Gorges Central Hospital, Chongqing</wicri:regionArea><wicri:noRegion>Chongqing</wicri:noRegion></affiliation></author><author><name sortKey="Yang, Dan" sort="Yang, Dan" uniqKey="Yang D" first="Dan" last="Yang">Dan Yang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Chongqing Three Gorges Central Hospital, Chongqing, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Chongqing Three Gorges Central Hospital, Chongqing</wicri:regionArea><wicri:noRegion>Chongqing</wicri:noRegion></affiliation></author><author><name sortKey="Li, Nian" sort="Li, Nian" uniqKey="Li N" first="Nian" last="Li">Nian Li</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medical Affairs, West China Hospital, Sichuan University, Chengdu, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Medical Affairs, West China Hospital, Sichuan University, Chengdu</wicri:regionArea><wicri:noRegion>Chengdu</wicri:noRegion></affiliation></author><author><name sortKey="Mu, Jie" sort="Mu, Jie" uniqKey="Mu J" first="Jie" last="Mu">Jie Mu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, West China Hospital, Sichuan University, Chengdu</wicri:regionArea><wicri:noRegion>Chengdu</wicri:noRegion></affiliation></author><author><name sortKey="Guo, Jian" sort="Guo, Jian" uniqKey="Guo J" first="Jian" last="Guo">Jian Guo</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, West China Hospital, Sichuan University, Chengdu</wicri:regionArea><wicri:noRegion>Chengdu</wicri:noRegion></affiliation></author><author><name sortKey="Li, Weimin" sort="Li, Weimin" uniqKey="Li W" first="Weimin" last="Li">Weimin Li</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pulmonary & Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Pulmonary & Critical Care Medicine, West China Hospital, Sichuan University, Chengdu</wicri:regionArea><wicri:noRegion>Chengdu</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Gang" sort="Wang, Gang" uniqKey="Wang G" first="Gang" last="Wang">Gang Wang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pulmonary & Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Pulmonary & Critical Care Medicine, West China Hospital, Sichuan University, Chengdu</wicri:regionArea><wicri:noRegion>Chengdu</wicri:noRegion></affiliation></author><author><name sortKey="Gao, Hui" sort="Gao, Hui" uniqKey="Gao H" first="Hui" last="Gao">Hui Gao</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, West China Hospital, Sichuan University, Chengdu</wicri:regionArea><wicri:noRegion>Chengdu</wicri:noRegion></affiliation></author><author><name sortKey="Zhang, Yingying" sort="Zhang, Yingying" uniqKey="Zhang Y" first="Yingying" last="Zhang">Yingying Zhang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, West China Hospital, Sichuan University, Chengdu</wicri:regionArea><wicri:noRegion>Chengdu</wicri:noRegion></affiliation></author><author><name sortKey="Lin, Mintao" sort="Lin, Mintao" uniqKey="Lin M" first="Mintao" last="Lin">Mintao Lin</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, West China Hospital, Sichuan University, Chengdu</wicri:regionArea><wicri:noRegion>Chengdu</wicri:noRegion></affiliation></author><author><name sortKey="Chen, Lei" sort="Chen, Lei" uniqKey="Chen L" first="Lei" last="Chen">Lei Chen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, West China Hospital, Sichuan University, Chengdu</wicri:regionArea><wicri:noRegion>Chengdu</wicri:noRegion></affiliation></author><author><name sortKey="Shen, Sisi" sort="Shen, Sisi" uniqKey="Shen S" first="Sisi" last="Shen">Sisi Shen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, West China Hospital, Sichuan University, Chengdu</wicri:regionArea><wicri:noRegion>Chengdu</wicri:noRegion></affiliation></author><author><name sortKey="Zhang, Hesheng" sort="Zhang, Hesheng" uniqKey="Zhang H" first="Hesheng" last="Zhang">Hesheng Zhang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, West China Hospital, Sichuan University, Chengdu</wicri:regionArea><wicri:noRegion>Chengdu</wicri:noRegion></affiliation></author><author><name sortKey="Sander, Josemir W" sort="Sander, Josemir W" uniqKey="Sander J" first="Josemir W" last="Sander">Josemir W. Sander</name><affiliation wicri:level="1"><nlm:affiliation>NIHR University College London Hospitals Biomedical Research Centre, UCL Queen Square Institute of Neurology, London , WC1N 3BG, Chalfont Centre for Epilepsy, Chalfont St Peter, United Kingdom.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>NIHR University College London Hospitals Biomedical Research Centre, UCL Queen Square Institute of Neurology, London , WC1N 3BG, Chalfont Centre for Epilepsy, Chalfont St Peter</wicri:regionArea><wicri:noRegion>Chalfont St Peter</wicri:noRegion></affiliation></author><author><name sortKey="Luo, Jianfei" sort="Luo, Jianfei" uniqKey="Luo J" first="Jianfei" last="Luo">Jianfei Luo</name><affiliation wicri:level="3"><nlm:affiliation>Department of Gastrointestinal Surgery, Renmin hospital of Wuhan Uiniversity, Wuhan, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Gastrointestinal Surgery, Renmin hospital of Wuhan Uiniversity, Wuhan</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Chen, Shengli" sort="Chen, Shengli" uniqKey="Chen S" first="Shengli" last="Chen">Shengli Chen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Chongqing Three Gorges Central Hospital, Chongqing, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Chongqing Three Gorges Central Hospital, Chongqing</wicri:regionArea><wicri:noRegion>Chongqing</wicri:noRegion></affiliation></author><author><name sortKey="Zhou, Dong" sort="Zhou, Dong" uniqKey="Zhou D" first="Dong" last="Zhou">Dong Zhou</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, West China Hospital, Sichuan University, Chengdu</wicri:regionArea><wicri:noRegion>Chengdu</wicri:noRegion></affiliation></author></analytic><series><title level="j">Epilepsia</title><idno type="eISSN">1528-1167</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">Our aim was to clarify the incidence and risk of acute symptomatic seizures in people with coronavirus disease 2019 (COVID-19). This multicenter retrospective study enrolled people with COVID-19 from 18 January to 18 February 2020 at 42 government-designated hospitals in Hubei province, the epicenter of the epidemic in China; Sichuan province; and Chongqing municipality. Data were collected from medical records by 11 neurologists using a standard case report form. A total of 304 people were enrolled, of whom 108 had a severe condition. None in this cohort had a known history of epilepsy. Neither acute symptomatic seizures or status epilepticus were observed. Two people had seizure-like symptoms during hospitalization due to acute stress reaction and hypocalcemia, Eighty-four (27%) had brain insults or metabolic imbalances during the disease course known to increase the risk of seizures. There was no evidence suggesting an additional risk of acute symptomatic seizures in people with COVID-19.Neither the virus or potential risk factors for seizures seem to be significant risks for the occurrence of acute symptomatic seizures in COVID-19.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li><li>République populaire de Chine</li></country><region><li>Hubei</li></region><settlement><li>Wuhan</li></settlement></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Lu, Lu" sort="Lu, Lu" uniqKey="Lu L" first="Lu" last="Lu">Lu Lu</name></noRegion><name sortKey="Chen, Lei" sort="Chen, Lei" uniqKey="Chen L" first="Lei" last="Chen">Lei Chen</name><name sortKey="Chen, Shengli" sort="Chen, Shengli" uniqKey="Chen S" first="Shengli" last="Chen">Shengli Chen</name><name sortKey="Gao, Hui" sort="Gao, Hui" uniqKey="Gao H" first="Hui" last="Gao">Hui Gao</name><name sortKey="Guo, Jian" sort="Guo, Jian" uniqKey="Guo J" first="Jian" last="Guo">Jian Guo</name><name sortKey="Li, Nian" sort="Li, Nian" uniqKey="Li N" first="Nian" last="Li">Nian Li</name><name sortKey="Li, Weimin" sort="Li, Weimin" uniqKey="Li W" first="Weimin" last="Li">Weimin Li</name><name sortKey="Lin, Mintao" sort="Lin, Mintao" uniqKey="Lin M" first="Mintao" last="Lin">Mintao Lin</name><name sortKey="Liu, Dan" sort="Liu, Dan" uniqKey="Liu D" first="Dan" last="Liu">Dan Liu</name><name sortKey="Liu, Jing" sort="Liu, Jing" uniqKey="Liu J" first="Jing" last="Liu">Jing Liu</name><name sortKey="Luo, Jianfei" sort="Luo, Jianfei" uniqKey="Luo J" first="Jianfei" last="Luo">Jianfei Luo</name><name sortKey="Mu, Jie" sort="Mu, Jie" uniqKey="Mu J" first="Jie" last="Mu">Jie Mu</name><name sortKey="Shen, Sisi" sort="Shen, Sisi" uniqKey="Shen S" first="Sisi" last="Shen">Sisi Shen</name><name sortKey="Wang, Gang" sort="Wang, Gang" uniqKey="Wang G" first="Gang" last="Wang">Gang Wang</name><name sortKey="Xiong, Weixi" sort="Xiong, Weixi" uniqKey="Xiong W" first="Weixi" last="Xiong">Weixi Xiong</name><name sortKey="Yang, Dan" sort="Yang, Dan" uniqKey="Yang D" first="Dan" last="Yang">Dan Yang</name><name sortKey="Zhang, Hesheng" sort="Zhang, Hesheng" uniqKey="Zhang H" first="Hesheng" last="Zhang">Hesheng Zhang</name><name sortKey="Zhang, Yingying" sort="Zhang, Yingying" uniqKey="Zhang Y" first="Yingying" last="Zhang">Yingying Zhang</name><name sortKey="Zhou, Dong" sort="Zhou, Dong" uniqKey="Zhou D" first="Dong" last="Zhou">Dong Zhou</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Sander, Josemir W" sort="Sander, Josemir W" uniqKey="Sander J" first="Josemir W" last="Sander">Josemir W. 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