Inpatient Neurology Consultations During the Onset of the SARS-CoV-2 New York City Pandemic: A Single Center Case Series

Sara Radmard; Samantha E. Epstein; Hannah J. Roeder; Andrew J. Michalak; Steven D. Shapiro; Amelia Boehme; Tommy J. Wilson; Juan C. Duran; Jennifer M. Bain; Joshua Z. Willey; Kiran T. Thakur

doi:10.3389/fneur.2020.00805

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Inpatient Neurology Consultations During the Onset of the SARS-CoV-2 New York City Pandemic: A Single Center Case Series

Journal article

Open access

Peer reviewed

Inpatient Neurology Consultations During the Onset of the SARS-CoV-2 New York City Pandemic: A Single Center Case Series

Sara Radmard, Samantha E. Epstein, Hannah J. Roeder, Andrew J. Michalak, Steven D. Shapiro, Amelia Boehme, Tommy J. Wilson, Juan C. Duran, Jennifer M. Bain, Joshua Z. Willey, …

Frontiers in neurology, Vol.11, pp.805-805

07/10/2020

DOI: 10.3389/fneur.2020.00805

PMCID: PMC7365853

PMID: 32754113

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Abstract

Objective: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) primarily causes respiratory illness. However, neurological sequelae from novel coronavirus disease 2019 (COVID-19) can occur. Patients with neurological conditions may be at higher risk of developing worsening of their underlying problem. Here we document our initial experiences as neurologic consultants at a single center quaternary hospital at the epicenter of the COVID-19 pandemic. Methods: This was a retrospective case series of adult patients diagnosed with SARS-CoV-2 who required neurological evaluation in the form of a consultation or primary neurological care from March 13, 2020 to April 1, 2020. Results: Thirty-three patients (ages 17–88 years) with COVID-19 infection who required neurological or admission to a primary neurology team were included in this study. The encountered neurological problems associated with SARS-CoV-2 infection were encephalopathy (12 patients, 36.4%), seizure (9 patients, 27.2%), stroke (5 patients, 15.2%), recrudescence of prior neurological disease symptoms (4 patients, 12.1%), and neuromuscular (3 patients, 9.1%). The majority of patients who required evaluation by neurology had elevated inflammatory markers. Twenty-one (63.6%) patients were discharged from the hospital and 12 (36.4%) died from COVID-19 related complications. Conclusion: This small case series of our initial encounters with COVID-19 infection describes a range of neurological complications which are similar to presentations seen with other critical illnesses. COVID-19 infection did not change the overall management of neurological problems.

COVID-19

inpatient consults

Neurology

novel coronavirus

severe acute respiratory syndrome coronavirus 2

Details

Title: Subtitle: Inpatient Neurology Consultations During the Onset of the SARS-CoV-2 New York City Pandemic: A Single Center Case Series
Creators: Sara Radmard - Columbia University
Samantha E. Epstein - Columbia University
Hannah J. Roeder - Columbia University
Andrew J. Michalak - Columbia University
Steven D. Shapiro - Columbia University
Amelia Boehme - Department of Neurology and Epidemiology, Sergievsky Center, Columbia University Irving Medical Center, New York, NY, United States.
Tommy J. Wilson - Columbia University
Juan C. Duran - Columbia University Medical Center
Jennifer M. Bain - Columbia University Medical Center
Joshua Z. Willey - Columbia University
Kiran T. Thakur - Columbia University
Resource Type: Journal article
Publication Details: Frontiers in neurology, Vol.11, pp.805-805
DOI: 10.3389/fneur.2020.00805
PMID: 32754113
PMCID: PMC7365853
NLM abbreviation: Front Neurol
ISSN: 1664-2295
eISSN: 1664-2295
Publisher: Frontiers Media S.A
Grant note: National Institutes of Health National Institute of Neurological Disorders and Stroke
Language: English
Date published: 07/10/2020
Academic Unit: Neurology
Record Identifier: 9984303017302771

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