Neurologic Manifestations of Hospitalized Patients With Coronavirus Disease 2019 in Wuhan, China

https://jamanetwork.com/journals/jamaneurology/fullarticle/2764549?guestAccessKey=4acaca6e-7090-4008-acf2-54ded1321cfe&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=041020 ^

[BusterDog]

Neurologic manifestations fell into 3 categories: central nervous system manifestations (dizziness, headache, impaired consciousness, acute cerebrovascular disease, ataxia, and seizure), peripheral nervous system manifestations (taste impairment, smell impairment, vision impairment, and nerve pain), and skeletal muscular injury manifestations.

[BusterDog]

In a case series of 214 patients with coronavirus disease 2019, neurologic symptoms were seen in 36.4% of patients and were more common in patients with severe infection (45.5%) according to their respiratory status, which included acute cerebrovascular events, impaired consciousness, and muscle injury.

[DannyTN]

This could explain Flubros.

[BusterDog]

“This could explain Flubros.”

I’m convinced a good portion of it is psychopathy. They just decide what they want and then form whatever argument they can to try to get it.

[Black Agnes]

Ping.

[PA Engineer]

Thanks. Back to one of my papers now (Pank & Vanin), however something keeps standing out associatively and should be investigated with this coronavirus.

The symptoms related to smell and taste loss is very common with those suffering zinc deficiency as well as initial symptoms of COVID19. I think this is something worth investigating. Free publication to anyone interested. Just add me to the end of the author list. ;-)

[Black Agnes]

IIRC zinc deficiency is one of the suspected causes of Pica.

[madison10]

About a month ago my brother and I (we have separate households) came down with cases of extreme dizziness. Took us both to the floor as we were too dizzy to walk. When comparing the symptoms both of us said we were afraid to walk down stairs. Laying in bed for the room was spinning, same happened to him. Nausea for me was extreme. (I never get it)

My case was worse than his (probably because I am about 14 years older). It was the weirdest thing we ever had. His son was getting over something a few days prior. Our whole family had gotten together for a meeting. Brother & I were the only ones from the group of eight or so that got the dizzy spells two days later. I have jokingly said that I already HAD the Covid.

[Jane Long]

LOL...was just about to ping you two :)

[Black Agnes]

There are also viruses that do that. I had one when I was in my 20’s. So did my mom. I was still living at home at the time & we were a mess.

[FR_addict]

It may be a common condition. Might want to check this out.

Benign positional vertigo (BPV) is the most common cause of vertigo, the sensation of spinning or swaying. It causes a sudden sensation of spinning, or like your head is spinning from the inside. You can have brief periods of mild or intense dizziness if you have BPV.

It's a 15 minute procedure in the doctor's office or you can do do it at home.
My husband and I both have had it.
I've had it more than once.
https://www.healthline.com/health/benign-positional-vertigo

A common associated finding with BPPV is nystagmus, an eye movement disorder characterized by rapid, involuntary movements of the eye. The eyes may be described as jumping or twitching in certain directions.

Here's one video
Epley Maneuver: Performed on a Real Patient suffering from Vertigo
https://www.youtube.com/watch?v=K4S4CbuN6QA

[imardmd1]

One gets that same vertigo when dehydrated, when the blood volume is too low to naturally re-establish the desired concentration of electrolytes by getting rid of more water (thus making one even more de-waterated). The vertigo goes away immediately upon the administration of saline solution intravenously.

I had this on July 4, 2012 and was barely able to call 911. The responding EMT could not read my systolic BP with his apparatus, let alone the diastolic number. He administered intravenous saline immediately, and as I was being carried on the gurney to the van, the vertigo was lessened such that the dry heaves stopped,. On the way to the emergency room me BP first registered at 40 systolic, with my body just drinking in the saline very quickly.

Halfway there, The continuously monitoring cuff registered 60/40 with pulse rate decreasing. At the hospital transfer their last reading was 80/50, and they had just started the third liter of saline. The nausea was mostly gone and I was feeling much better.

All this happened within the 20-25 minutes that they initially found me lying on the floor next to the phone, in pain and retching from the vertigo, to when they left me off at the emergency room entrance. That was about 10 pm of the 4^th.

The third liter was taken in much more slowly and lasted from 10pm until 2am. By about 12 midnight my blood volume had gotten to the point where I felt the need to urinate. A little after that the attending nurse got me some ginger ale at my request, and a little later a sandwich also by that request.

I was so excited that I could not sleep. Thus after at 3am a room was freed up for me, the vertigo had long passed, and I spent the rest of the night online from my bed, using the hospital TV/WiFi connection it afforded.

I have since learned that if I have not been watching my need for fluids (as well as the need for food that I had skipped that very hot day), the dizziness was a harbinger of dehydration, as I have seen by getting out my BP instrument, and finding out the status of dangerously declining BP contingent with the dehydration, low blood volume, and high heart pulse rate that had consequently developed. Another concurrent symptom has been hand or leg muscle spasms.

To counter these effects, I can just eat a half spoon of salt with water, and the spasms go away within 10 to 20 minutes. Getting rid of the vertigo sense takes longer. What I have kept on hand is a supply of pints of pediaatric electrolyte (trade name "Pedialyte") but available in grape or orange flavor from the Dollar Tree store for $1 a pint, or from Walmart a quart of unflavored solution; all having the same electrolytes and concentration as the more expensive "Pedialyte" obtained from a drug store or big grocery,

As one instance, my inattention led on my waking up nauseous and with painful leg cramps at 12:31am of this last March 25, with BP of 86/49 pulse 72. Although I immediately drank the pint of pediatric electrolyte a few minutes later the BP had dropped further to 76/46, so I took a little dry salt also. By an hour later the vitals had turned around and were back up to 99/52 mm Hg with pulse 55 beats per min, spasms gone, and vertigo barely sensed. Of course, I was also drinking more water which obviously my body was retaining to decrease blood concentration of the deliberately self-medicated over-supply of electrolytes.

The label of the brand of pediatric electrolytes reads:

Serving size 8 oz (= abt. 250ml)

Sodium 240 mg
Total carbohydrate 8 gm
Total sugars 5 gm
Potassium 180 Mg
Zinc 1.8 mg*
Chloride 280 mg
-------
* = Not well, my coloration for emphasis, not on the label ========
o Help prevent dehydration due to diarrhea and vomiting

o Replenishes zinc lost during diarrhea

The label also reads:

CONTAINS NO FRUIT JUICE

Natural and artificial flavors

*************

Please take a SPECIAL NOTE here that the zinc is added. I suppose that the amount of zinc could well be enhanced by adding more through zinc-bearing gluconate ingredient, or by other OTC remedies. But this also must be governed and limited to that which is tolerable, not for it to become a poison.

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