4.6 Editorial Material

Brain changes after COVID-19-how concerned should we be?

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Review Anatomy & Morphology

A systematic review of olfactory-related brain structural changes in patients with congenital or acquired anosmia

Hanani Abdul Manan et al.

Summary: The brain structural features of healthy individuals are associated with olfactory functions. Different structural characteristics may be exhibited in congenital and acquired anosmia due to pathophysiological differences. A systematic review compared brain structural features between patients with congenital and acquired anosmia, finding consistent associations between olfactory bulb volume and olfactory function across etiologies, but inconsistent associations with olfactory sulcus depth. The review observed morphological variations in grey matter and white matter volume in congenital and acquired anosmia, suggesting that the structural characteristics in these two conditions are altered differently, likely due to multifactorial mechanisms and interactions with the environment.

BRAIN STRUCTURE & FUNCTION (2022)

Article Psychology, Multidisciplinary

Cognitive Impairment in Non-critical, Mild-to-Moderate COVID-19 Survivors

Ashley M. Henneghan et al.

Summary: This study examined cognitive outcomes in non-critical, mild-to-moderate COVID-19 cases. The findings showed that 40% of the cases demonstrated cognitive impairment, particularly in executive function. Younger age, male gender, and a greater number of COVID-19 symptoms were associated with cognitive impairment. These results indicate the presence of common neurological sequelae, such as cognitive impairment, following COVID-19 infection.

FRONTIERS IN PSYCHOLOGY (2022)

Article Clinical Neurology

One-year cognitive follow-up of COVID-19 hospitalized patients

Roberta Ferrucci et al.

Summary: Cognitive impairment can still be observed after 1 year of recovery from COVID-19, with processing speed and long-term visuospatial and verbal memory being the most affected domains. Lower PaO2/FiO(2) ratios in the acute phase are associated with worse verbal long-term memory and visuospatial learning at 5 months. Recovered patients should receive periodic cognitive follow-up evaluations.

EUROPEAN JOURNAL OF NEUROLOGY (2022)

Article Multidisciplinary Sciences

SARS-CoV-2 is associated with changes in brain structure in UK Biobank

Gwenaelle Douaud et al.

Summary: Through long-term observation of participants' MRI images, it was found that COVID-19 infection is associated with abnormal brain changes, including a reduction in gray matter thickness in the orbitofrontal cortex and parahippocampal gyrus, greater changes in markers of tissue damage in regions functionally connected to the primary olfactory cortex, and a greater reduction in global brain size. Infected individuals also showed significant cognitive decline.

NATURE (2022)

Article Biochemistry & Molecular Biology

Article Visualizing in deceased COVID-19 patients how SARS-CoV-2 attacks the respiratory and olfactory mucosae but spares the olfactory bulb

Mona Khan et al.

Summary: Anosmia, the loss of smell, is a common symptom of COVID-19, but it is caused by the virus attacking sustentacular cells in the olfactory mucosa rather than infecting olfactory sensory neurons. This suggests that SARS-CoV-2 is not a neurotropic virus.
Article Neurosciences

Olfactory transmucosal SARS-CoV-2 invasion as a port of central nervous system entry in individuals with COVID-19

Jenny Meinhardt et al.

Summary: The study demonstrates the presence of SARS-CoV-2 in the nasopharynx and brain, suggesting the virus may enter the CNS through the olfactory mucosa. The virus utilizes the neural-mucosal interface in the olfactory mucosa to penetrate the nervous system, affecting various neuroanatomical areas, including the primary respiratory and cardiovascular control center.

NATURE NEUROSCIENCE (2021)

Article Neurosciences

Brain volumetric changes in the general population following the COVID-19 outbreak and lockdown

Tom Salomon et al.

Summary: The study suggests that the brains of healthy individuals may undergo transient volumetric changes related to stress and anxiety during the COVID-19 pandemic. These changes decrease over time following the lifting of lockdown measures, indicating that intense experiences associated with the pandemic play a role.

NEUROIMAGE (2021)

Letter Medicine, General & Internal

Clinical Outcomes for Patients With Anosmia 1 Year After COVID-19 Diagnosis

Marion Renaud et al.

Summary: This cohort study examines the clinical course and prognosis of patients with COVID-19-related anosmia for 1 year after diagnosis.

JAMA NETWORK OPEN (2021)