NeuroPsychiatric conditions Post COVID-19

Seems like the NYT piece was copied over here, for those who can't see it:

Some coronavirus patients show signs of brain ailments
Experts say some COVID-19 patients are experiencing problems with brain functions in addition to unusual symptoms such as diminished sense of smell and taste and heart problems. In Detroit, one COVID-19 patient in her late 50s was diagnosed with acute necrotizing encephalopathy, a rare complication of influenza and other viral infections.

Experts say some COVID-19 patients are experiencing problems with brain functions in addition to unusual symptoms such as diminished sense of smell and taste and heart problems. In Detroit, one COVID-19 patient in her late 50s was diagnosed with acute necrotizing encephalopathy, a rare complication of influenza and other viral infections. Elissa Fory, MD, a neurologist with Henry Ford Health System, says: "This may indicate the virus can invade the brain directly in rare circumstances." Neurologists in Italy and elsewhere also have observed COVID-19 patients having strokes, seizures, encephalitis-like symptoms, blood clots, and tingling or numbness in the extremities. In Connecticut, four older patients who were admitted to Danbury Hospital with encephalopathy later tested positive for COVID-19, but they had no other symptoms. Paul Nee, MD, an infectious disease specialist at the hospital, notes it is not unusual for older adults to experience confusion when they develop other infections, but "the striking thing is we have not seen any real respiratory illness in these patients." He observes that such patients continue to test positive and cannot be discharged, even though they do not appear ill. Patients who have encephalopathy and seem confused could have seizures and should receive immediate treatment, says Jennifer Frontera, MD, a neurologist at NYU Langone Health. She notes that seizures are not always the dramatic episodes depicted on television and in movies. They "are not always big things where people fall down and are shaking on the ground," she explains. "Some could be just veering off, not paying attention, making repetitive non-purposeful movements, or just mental status changes where people are just not themselves."

New York Times (04/01/20) Rabin, Roni Caryn
Click to expand...

https://www.pharmacist.com/article/some-coronavirus-patients-show-signs-brain-ailments
 
It’s the description of side effects as neuropsychiatric and the calling on of the expertise of Wessely in these Tweets that disturbs me: a grab for the new market, an extension of the existing regime just as it is coming under fire.
 
RuthT said:
It’s the description of side effects as neuropsychiatric and the calling on of the expertise of Wessely in these Tweets that disturbs me: a grab for the new market, an extension of the existing regime just as it is coming under fire.
Click to expand...

Yep. in his case psychiatry - alternative spelling of parasite.

God help them. If the BPS get hold of them then their problems are just starting. :(
 
Wessley & Co will be there when post-COVID starts to be talked about, there's no escaping that, they are moths to flames. We can only hope - or pressure - researchers, doctors, and policy holders that have spoke up to also be at that table. I'm taking about Nath, Collins, Koroshtez, Davis, Tompkins and the leaders of all the centers for excellence, like Lipkin, and not just them but all researchers.

They need to show up from day 1 saying we need to look at is this related to me/cfs or not? What are the biological underpinnings? Demanding proper investigation. If they are passive or deferential, BPS will take over simply by attrition. They don't need research, they just need to talk pieces in journals hypothetical tweets, and speculation pushed out through their propaganda outlets and naive journalists.

If they don't, it's playing catch-up all over again.
 
I don't see acknowledging neuropsychiatric complications as problematic at all.

In the context of brain infections 'psychiatric' does not mean 'psychogenic'.

If these sorts of effects are occurring then we need to get the information out there for our medical workers, as well as patients and families.

"""Encephalitis and other mental disorders""" - I would put that down to very poor word choice.

More worrying is that the BPS bunch are likely gearing up to attribute any long-term 'unexplained' symptoms in patients to 'unhelpful cognitions'
 
Last edited:
It is rare but some people develop encephalitis from the Herpes Simplex (cold sore) virus. Acquired brain injury (i.e. not from birth) would be a more appropriate grouping.

ETA: The DSM: Diagnostic and Statistical Manual of Mental Disorders which Psychiatrists use to code diagnosis does include categories for neurocognitive disorders which include the consequences of traumatic brain injury, Alzheimers and Parkinson's where no-one would argue with organic cause.
 
Last edited:
from the NYT article, my bolding...
Paul Nee, MD, an infectious disease specialist at the hospital, notes it is not unusual for older adults to experience confusion when they develop other infections, but "the striking thing is we have not seen any real respiratory illness in these patients." He observes that such patients continue to test positive and cannot be discharged, even though they do not appear ill. Patients who have encephalopathy and seem confused could have seizures and should receive immediate treatment, says Jennifer Frontera, MD, a neurologist at NYU Langone Health. She notes that seizures are not always the dramatic episodes depicted on television and in movies. They "are not always big things where people fall down and are shaking on the ground," she explains. "Some could be just veering off, not paying attention, making repetitive non-purposeful movements, or just mental status changes where people are just not themselves."
Click to expand...
Well I pity anyone with an FND dx who develops this kind of problem... because they will be likely be dismissed & left untreated if they don't have the classic respiratory issues...
 
You must log in or register to reply here.
Back
Top Bottom