Myoclonus in Patients With Coronavirus Disease 2019: A Multicenter Case Series.
Identifieur interne : 000113 ( Main/Exploration ); précédent : 000112; suivant : 000114Myoclonus in Patients With Coronavirus Disease 2019: A Multicenter Case Series.
Auteurs : Pria Anand [États-Unis] ; Asma Zakaria [États-Unis] ; Karima Benameur [États-Unis] ; Charlene Ong [États-Unis] ; Maryann Putman [États-Unis] ; Sarah O'Shea [États-Unis] ; David Greer [États-Unis] ; Anna M. Cervantes-Arslanian [États-Unis]Source :
- Critical care medicine [ 1530-0293 ] ; 2020.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Betacoronavirus (MeSH), Femelle (MeSH), Géorgie (MeSH), Humains (MeSH), Hypoxie (MeSH), Infections à coronavirus (complications), Infections à coronavirus (thérapie), Massachusetts (MeSH), Myoclonie (diagnostic), Myoclonie (thérapie), Myoclonie (étiologie), Mâle (MeSH), Pandémies (MeSH), Pneumopathie virale (complications), Pneumopathie virale (thérapie), Sujet âgé (MeSH), Virginie (MeSH), Études de suivi (MeSH).
- MESH :
- diagnostic : Myoclonie.
- thérapie : Infections à coronavirus, Myoclonie, Pneumopathie virale.
- étiologie : Myoclonie.
- Adulte, Adulte d'âge moyen, Betacoronavirus, Femelle, Géorgie, Humains, Hypoxie, Infections à coronavirus, Massachusetts, Mâle, Pandémies, Pneumopathie virale, Sujet âgé, Virginie, Études de suivi.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Betacoronavirus (MeSH), COVID-19 (MeSH), Coronavirus Infections (complications), Coronavirus Infections (therapy), Female (MeSH), Follow-Up Studies (MeSH), Georgia (MeSH), Humans (MeSH), Hypoxia (MeSH), Male (MeSH), Massachusetts (MeSH), Middle Aged (MeSH), Myoclonus (diagnosis), Myoclonus (etiology), Myoclonus (therapy), Pandemics (MeSH), Pneumonia, Viral (complications), Pneumonia, Viral (therapy), SARS-CoV-2 (MeSH), Virginia (MeSH).
- MESH :
- geographic : Georgia, Massachusetts, Virginia.
- complications : Coronavirus Infections, Pneumonia, Viral.
- diagnosis : Myoclonus.
- etiology : Myoclonus.
- therapy : Coronavirus Infections, Myoclonus, Pneumonia, Viral.
- Adult, Aged, Betacoronavirus, COVID-19, Female, Follow-Up Studies, Humans, Hypoxia, Male, Middle Aged, Pandemics, SARS-CoV-2.
Abstract
OBJECTIVES
To describe the risk factors for and outcomes after myoclonus in a cohort of patients with coronavirus disease 2019.
DESIGN
Multicenter case series.
SETTING
Three tertiary care hospitals in Massachusetts, Georgia, and Virginia.
PATIENTS
Eight patients with clinical myoclonus in the setting of coronavirus disease 2019.
INTERVENTIONS & MEASUREMENTS AND MAIN RESULTS
Outcomes in patients with myoclonus were variable, with one patient who died during the study period and five who were successfully extubated cognitively intact and without focal neurologic deficits. In five cases, the myoclonus completely resolved within 2 days of onset, while in three cases, it persisted for 10 days or longer. Seven patients experienced significant metabolic derangements, hypoxemia, or exposure to sedating medications that may have contributed to the development of myoclonus. One patient presented with encephalopathy and developed prolonged myoclonus in the absence of clear systemic provoking factors.
CONCLUSIONS
Our findings suggest that myoclonus may be observed in severe acute respiratory syndrome coronavirus 2 infected patients, even in the absence of hypoxia. This association warrants further evaluation in larger cohorts to determine whether the presence of myoclonus may aid in the assessment of disease severity, neurologic involvement, or prognostication.
DOI: 10.1097/CCM.0000000000004570
PubMed: 32804787
PubMed Central: PMC7448712
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<term>Aged (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>COVID-19 (MeSH)</term>
<term>Coronavirus Infections (complications)</term>
<term>Coronavirus Infections (therapy)</term>
<term>Female (MeSH)</term>
<term>Follow-Up Studies (MeSH)</term>
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<term>Massachusetts (MeSH)</term>
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<term>Myoclonus (etiology)</term>
<term>Myoclonus (therapy)</term>
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<term>Pneumonia, Viral (therapy)</term>
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<term>Betacoronavirus (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Géorgie (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Hypoxie (MeSH)</term>
<term>Infections à coronavirus (complications)</term>
<term>Infections à coronavirus (thérapie)</term>
<term>Massachusetts (MeSH)</term>
<term>Myoclonie (diagnostic)</term>
<term>Myoclonie (thérapie)</term>
<term>Myoclonie (étiologie)</term>
<term>Mâle (MeSH)</term>
<term>Pandémies (MeSH)</term>
<term>Pneumopathie virale (complications)</term>
<term>Pneumopathie virale (thérapie)</term>
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<term>Pneumonia, Viral</term>
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<term>Myoclonus</term>
<term>Pneumonia, Viral</term>
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<term>Aged</term>
<term>Betacoronavirus</term>
<term>COVID-19</term>
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<term>Follow-Up Studies</term>
<term>Humans</term>
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<term>Pandemics</term>
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<term>Femelle</term>
<term>Géorgie</term>
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<term>Mâle</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b>
</p>
<p>To describe the risk factors for and outcomes after myoclonus in a cohort of patients with coronavirus disease 2019.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>DESIGN</b>
</p>
<p>Multicenter case series.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>SETTING</b>
</p>
<p>Three tertiary care hospitals in Massachusetts, Georgia, and Virginia.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>PATIENTS</b>
</p>
<p>Eight patients with clinical myoclonus in the setting of coronavirus disease 2019.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>INTERVENTIONS & MEASUREMENTS AND MAIN RESULTS</b>
</p>
<p>Outcomes in patients with myoclonus were variable, with one patient who died during the study period and five who were successfully extubated cognitively intact and without focal neurologic deficits. In five cases, the myoclonus completely resolved within 2 days of onset, while in three cases, it persisted for 10 days or longer. Seven patients experienced significant metabolic derangements, hypoxemia, or exposure to sedating medications that may have contributed to the development of myoclonus. One patient presented with encephalopathy and developed prolonged myoclonus in the absence of clear systemic provoking factors.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Our findings suggest that myoclonus may be observed in severe acute respiratory syndrome coronavirus 2 infected patients, even in the absence of hypoxia. This association warrants further evaluation in larger cohorts to determine whether the presence of myoclonus may aid in the assessment of disease severity, neurologic involvement, or prognostication.</p>
</div>
</front>
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<Day>10</Day>
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<Issue>11</Issue>
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<Month>11</Month>
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<Title>Critical care medicine</Title>
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<ArticleTitle>Myoclonus in Patients With Coronavirus Disease 2019: A Multicenter Case Series.</ArticleTitle>
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<Abstract><AbstractText Label="OBJECTIVES">To describe the risk factors for and outcomes after myoclonus in a cohort of patients with coronavirus disease 2019.</AbstractText>
<AbstractText Label="DESIGN">Multicenter case series.</AbstractText>
<AbstractText Label="SETTING">Three tertiary care hospitals in Massachusetts, Georgia, and Virginia.</AbstractText>
<AbstractText Label="PATIENTS">Eight patients with clinical myoclonus in the setting of coronavirus disease 2019.</AbstractText>
<AbstractText Label="INTERVENTIONS & MEASUREMENTS AND MAIN RESULTS">Outcomes in patients with myoclonus were variable, with one patient who died during the study period and five who were successfully extubated cognitively intact and without focal neurologic deficits. In five cases, the myoclonus completely resolved within 2 days of onset, while in three cases, it persisted for 10 days or longer. Seven patients experienced significant metabolic derangements, hypoxemia, or exposure to sedating medications that may have contributed to the development of myoclonus. One patient presented with encephalopathy and developed prolonged myoclonus in the absence of clear systemic provoking factors.</AbstractText>
<AbstractText Label="CONCLUSIONS">Our findings suggest that myoclonus may be observed in severe acute respiratory syndrome coronavirus 2 infected patients, even in the absence of hypoxia. This association warrants further evaluation in larger cohorts to determine whether the presence of myoclonus may aid in the assessment of disease severity, neurologic involvement, or prognostication.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Anand</LastName>
<ForeName>Pria</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, Boston University Medical Center, Boston, MA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zakaria</LastName>
<ForeName>Asma</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Critical Care Medicine, INOVA Fairfax Medical Campus, Falls Church, VA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Benameur</LastName>
<ForeName>Karima</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, Emory University School of Medicine, Atlanta, GA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ong</LastName>
<ForeName>Charlene</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, Boston University Medical Center, Boston, MA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Putman</LastName>
<ForeName>Maryann</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, Emory University School of Medicine, Atlanta, GA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>O'Shea</LastName>
<ForeName>Sarah</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, Boston University Medical Center, Boston, MA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Greer</LastName>
<ForeName>David</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, Boston University Medical Center, Boston, MA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Cervantes-Arslanian</LastName>
<ForeName>Anna M</ForeName>
<Initials>AM</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, Boston University Medical Center, Boston, MA.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Medicine (Infectious Diseases), Boston University Medical Center, Boston, MA.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Neurosurgery, Boston University Medical Center, Boston, MA.</Affiliation>
</AffiliationInfo>
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<MedlineTA>Crit Care Med</MedlineTA>
<NlmUniqueID>0355501</NlmUniqueID>
<ISSNLinking>0090-3493</ISSNLinking>
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<CitationSubset>AIM</CitationSubset>
<CitationSubset>IM</CitationSubset>
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<MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName>
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<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading><DescriptorName UI="D000860" MajorTopicYN="N">Hypoxia</DescriptorName>
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<MeshHeading><DescriptorName UI="D008404" MajorTopicYN="N" Type="Geographic">Massachusetts</DescriptorName>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year>
<Month>8</Month>
<Day>18</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="medline"><Year>2020</Year>
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<PubMedPubDate PubStatus="entrez"><Year>2020</Year>
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<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">32804787</ArticleId>
<ArticleId IdType="doi">10.1097/CCM.0000000000004570</ArticleId>
<ArticleId IdType="pmc">PMC7448712</ArticleId>
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<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Géorgie (États-Unis)</li>
<li>Massachusetts</li>
<li>Virginie</li>
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<tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Anand, Pria" sort="Anand, Pria" uniqKey="Anand P" first="Pria" last="Anand">Pria Anand</name>
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<name sortKey="Benameur, Karima" sort="Benameur, Karima" uniqKey="Benameur K" first="Karima" last="Benameur">Karima Benameur</name>
<name sortKey="Cervantes Arslanian, Anna M" sort="Cervantes Arslanian, Anna M" uniqKey="Cervantes Arslanian A" first="Anna M" last="Cervantes-Arslanian">Anna M. Cervantes-Arslanian</name>
<name sortKey="Cervantes Arslanian, Anna M" sort="Cervantes Arslanian, Anna M" uniqKey="Cervantes Arslanian A" first="Anna M" last="Cervantes-Arslanian">Anna M. Cervantes-Arslanian</name>
<name sortKey="Cervantes Arslanian, Anna M" sort="Cervantes Arslanian, Anna M" uniqKey="Cervantes Arslanian A" first="Anna M" last="Cervantes-Arslanian">Anna M. Cervantes-Arslanian</name>
<name sortKey="Greer, David" sort="Greer, David" uniqKey="Greer D" first="David" last="Greer">David Greer</name>
<name sortKey="O Shea, Sarah" sort="O Shea, Sarah" uniqKey="O Shea S" first="Sarah" last="O'Shea">Sarah O'Shea</name>
<name sortKey="Ong, Charlene" sort="Ong, Charlene" uniqKey="Ong C" first="Charlene" last="Ong">Charlene Ong</name>
<name sortKey="Putman, Maryann" sort="Putman, Maryann" uniqKey="Putman M" first="Maryann" last="Putman">Maryann Putman</name>
<name sortKey="Zakaria, Asma" sort="Zakaria, Asma" uniqKey="Zakaria A" first="Asma" last="Zakaria">Asma Zakaria</name>
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