arthyperАртериальная гипертензия"Arterial’naya Gipertenziya" ("Arterial Hypertension")1607-419X2411-8524Antihypertensive League10.18705/1607-419X-2020-26-3-263-269arthyper-1951Research ArticleЛЕКЦИЯLECTUREИзменения процесса оказания помощи пациентам с инсультом в условиях эпидемии COVID-19Healthcare for stroke patients in COVID-19 pandemichttps://orcid.org/0000-0002-6484-286XЯнишевскийС. Н.YanishevskiyS. N.

Янишевский Станислав Николаевич — доктор медицинских наук, доцент, заведующий научно-исследовательской лабораторией неврологии и нейрореабилитации

ул. Аккуратова, д. 2, Санкт-Петербург, 197341

Stanislav N. Yanishevskiy, MD, PhD, DSc, Associate Professor, Head, Research Laboratory for Neurology and Neurorehabilitation

2 Akkuratov street, St Petersburg, 197341

yanishevskiy_sn@almazovcentre.ruФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова» Министерства здравоохранения Российской ФедерацииРоссияAlmazov National Medical Research CentreRussian Federation202010052020263263269Copyright © Янишевский С.Н., 20202020Янишевский С.Н.Yanishevskiy S.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://htn.almazovcentre.ru/jour/article/view/1951

Эпидемия новой коронавирусной инфекции (COVID-19) внесла существенные изменения в ритм работы сосудистых отделений. Важной проблемой является сочетание инфекционного процесса и остро возникшей очаговой неврологической симптоматики. С одной стороны, изменения могут наблюдаться при развитии инсульта у пациента с респираторной вирусной инфекцией, с другой стороны, такая симптоматика может быть характерна для прямого поражения головного мозга при вирусной инфекции. Поражения центральной нервной системы при коронавирусе включают развитие энцефалита, инфекционно-токсической энцефалопатии с многообразными проявлениями — от головной боли до нарушений сознания при тяжелом течении инфекции. Это требует дополнительных подходов для правильной постановки диагноза и изменения протоколов ведения пациентов с неврологической симптоматикой. В статье рассматриваются основные вопросы и сложности, связанные с оказанием медицинской помощи пациентам с признаками поражения центральной нервной системы в условиях коронавирусной пандемии.

COVID-19 pandemic changed the setup of vascular centers. The co-existence of coronaviral infection and neurological symptoms is an important issue. On the one hand, neurological manifestations can result from acute stroke in a patient afflicted with SARS-CoV-2. On the other hand, they can be caused by the direct brain viral damage. Coronavirus damage of central neural system includes encephalitis and infection-related toxic encephalopathy. The latter can present with various manifestations (from headache to conscious disorders in severe cases). Therefore, additional diagnostic approaches and new treatment protocols are required. The paper covers important issues related to healthcare delivery for patients with neurologic symptoms in COVID-19 pandemic.

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The authors declare that there are no conflicts of interest present.