Review Article
Volume 13 Issue 2 - 2020
Epileptic Crisis, Epilepsy and Covid-19
Juan Enrique Bender del Busto1*, Marcel D Mendieta Pedroso2, Roberto León Castellón3 and Lilia Morales Chacón4
1Medical Doctor, II Degree Specialist in Neurology, Full Professor and Consultant, International Center for Neurological Restoration, Havana, Cuba
2II Degree Specialist in Comprehensive General Medicine and Internal Medicine, Master in Medical Emergencies in Primary Health Care, Leopoldito Martínez Hospital, San José de las Lajas, Cuba
3Medical Doctor, II Degree Specialist in Neurology, General Calixto García University Hospital, Havana, Cuba
4Medical Doctor, II Degree Specialist in Neurophysiology, President of the Cuban Chapter of the ILAE, Cuba
*Corresponding Author: Juan Enrique Bender del Busto, Medical Doctor, II Degree Specialist in Neurology, Full Professor and Consultant, International Center for Neurological Restoration, Havana, Cuba.
Received: December 07, 2020; Published: January 27, 2021




Abstract

The seventh known coronavirus that infects humans is the cause of acute respiratory syndrome 2 (SARS-CoV-2), which was described in December 2019, in the province of Hubei, Wuhan (China), where it was reported several patients with respiratory symptoms and pneumonia who had a new coronavirus (2019-nCoV) as the causative agent, initially called “Wuhan virus”. This virus spread rapidly causing high morbidity and mortality, in turn, being declared a pandemic by the World Health Organization on March 11, 2020. The document aims to make a generic summary of the scientific evidence available regarding the affectation of the system by SARS-CoV-2 and specifically, the presence of epileptic seizures, as well as the possible affectation in the patient with epilepsy and the recommendations in this regard. To prepare it, the search engine Google Academic and the descriptors COVID-19, SARS-CoV-2, neurological manifestations/complications and epilepsy were used. The Medline, Scielo, Scopus and Medscape databases were used. Numerous authors report the various neurological manifestations that have occurred, including epileptic seizures. An analytical summary of the scientific evidence available regarding the presence of epileptic seizures in previous epidemics due to other coronaviruses and the current pandemic produced by SARS-CoV-2 is carried out, noting that prospective studies should be carried out to determine if the people who experienced acute symptomatic seizures during COVID-19, they may develop subsequent seizures, or the diagnosis of epilepsy can be defined. Adequate guidance is necessary for patients suffering from epilepsy and to insist that they are not more susceptible to being infected by the virus, nor more likely to have serious manifestations of COVID-19. It is worth mentioning that the emotional tension in the face of the pandemic can create instability in the patient with epilepsy and therefore the appropriate pharmacological management and attention to the mental health of these patients should be taken into consideration. The guidelines of the International League Against Epilepsy are listed, which must be taken into account and among them, the pharmacological interactions of antiepileptic drugs and the drugs used in the various action protocols.

Keywords: Coronavirus; Neurotropism; Seizures/Epilepsy, Mental Health; COVID-19

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Citation: Juan Enrique Bender del Busto., et al. “Epileptic Crisis, Epilepsy and Covid-19”.EC Neurology 13.2 (2021): 08-18.

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