Initial Neurological Symptoms Associated with COVID-19 during the First Outbreak in Bulgaria

Authors

  • Filip Alexiev St. Anna University Hospital, Clinic of Neurology, Bulgaria
  • Dobrinka Kalpachka St. Anna University Hospital, Clinic of Neurology, Bulgaria
  • Teodora Sakelarova St. Anna University Hospital, Clinic of Neurology, Bulgaria
  • Nikolay Gabrovsky Pirogov University Hospital, Clinic of Neurosurgery, Bulgaria
  • Diana Dimitrova Pirogov University Hospital, Emergency Department, Bulgaria
  • Dobromir Iliev Pirogov University Hospital, Department of Neurology, Bulgaria
  • Yana Axentieva St. Anna University Hospital, Department of Infectious Diseases, Bulgaria
  • Brosek Halil Hasan Second Multiprofile Hospital for Active Treatment, Department of Pulmonary Diseases, Bulgaria
  • Rosen Kalpachki St. Anna University Hospital, Clinic of Neurology, Bulgaria and Department of Medical and Social Neurosciences, Southwest University, Bulgaria

DOI:

https://doi.org/10.7546/CRABS.2024.05.14

Keywords:

neurological symptoms, COVID-19, Bulgaria

Abstract

During the first outbreak of COVID-19 in the spring of 2020 different symptoms of the disease were reported. Therefore, this study aimed to evaluate initial neurological symptoms of COVID-19 among hospitalized patients in that time period.

In patients with confirmed COVID-19, initial symptoms, concomitant diseases, neurological signs, and neurological status were assessed.

Sixty-six patients (mean age 63 years) were prospectively enrolled, 44 (66.7%) of them were males. Initial neurological symptoms were reported by 51 (77.3%), most commonly headache (14 [21.2%]), dizziness, and vertigo (14 [21.2%]). Dysgeusia was present in 13 (19.7%) and anosmia in 10 (15.2%) patients. Initial neurological symptoms were observed in 20 (76.9%) of ≤ 60 years patients, and 31 (77.5%) of > 60 years patients. Focal neurological deficit was found in 35 (53%) patients, 11 (42.3%) were ≤ 60 years.

The presence of initial neurological symptoms in this study is higher than previously reported, without a difference in age groups, despite the higher somatic burden in the group of patients over 60 years of age.

Author Biographies

Filip Alexiev, St. Anna University Hospital, Clinic of Neurology, Bulgaria

Mailing Address:
St. Anna University Hospital,
Clinic of Neurology,
1 Dimitar Mollov St,
1750 Sofia, Bulgaria

E-mail: filip.alexiev@gmail.com

Dobrinka Kalpachka, St. Anna University Hospital, Clinic of Neurology, Bulgaria

Mailing Address:
St. Anna University Hospital,
Clinic of Neurology,
1 Dimitar Mollov St,
1750 Sofia, Bulgaria

E-mail: ina_kalpachka@abv.bg

Teodora Sakelarova, St. Anna University Hospital, Clinic of Neurology, Bulgaria

Mailing Address:
St. Anna University Hospital,
Clinic of Neurology,
1 Dimitar Mollov St,
1750 Sofia, Bulgaria

E-mail: teodora.sakelarova@gmail.com

Nikolay Gabrovsky, Pirogov University Hospital, Clinic of Neurosurgery, Bulgaria

Mailing Address:
Pirogov University Hospital,
Clinic of Neurosurgery,
21 E. I. Totleben Blvd,
1606 Sofia, Bulgaria

E-mail: gabrovsky@gmail.com

Diana Dimitrova, Pirogov University Hospital, Emergency Department, Bulgaria

Mailing Address:
Pirogov University Hospital,
Emergency Department,
21 E. I. Totleben Blvd,
1606 Sofia, Bulgaria

E-mail: d_r_dimitrova@abv.bg

Dobromir Iliev, Pirogov University Hospital, Department of Neurology, Bulgaria

Mailing Address:
Pirogov University Hospital,
Department of Neurology,
21 E. I. Totleben Blvd,
1606 Sofia, Bulgaria

E-mail: dobby.iliev@gmail.com

Yana Axentieva, St. Anna University Hospital, Department of Infectious Diseases, Bulgaria

Mailing Address:
St. Anna University Hospital,
Department of Infectious Diseases,
1 Dimitar Mollov St,
1750 Sofià, Bulgaria

E-mail: yanaaxentieva@icloud.co

Brosek Halil Hasan, Second Multiprofile Hospital for Active Treatment, Department of Pulmonary Diseases, Bulgaria

Mailing Address:
Second Multiprofile Hospital for Active Treatment,
Department of Pulmonary Diseases,
120 Hristo Botev Blvd, 1202 Sofia, Bulgaria

E-mail: secondmbal@abv.bg

Rosen Kalpachki, St. Anna University Hospital, Clinic of Neurology, Bulgaria and Department of Medical and Social Neurosciences, Southwest University, Bulgaria

Mailing Addresses:
St. Anna University Hospital,
Clinic of Neurology,
1 Dimitar Mollov St,
1750 Sofia, Bulgaria

and

Department of Medical and Social Neurosciences,
Southwest University,
66 Ivan Mihailov St,
2700 Blagoevgrad, Bulgaria

E-mail: neurozona@gmail.com

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Published

25-05-2024

How to Cite

[1]
F. Alexiev, “Initial Neurological Symptoms Associated with COVID-19 during the First Outbreak in Bulgaria”, C. R. Acad. Bulg. Sci. , vol. 77, no. 5, pp. 760–765, May 2024.

Issue

Section

Medicine