{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T08:14:00Z","timestamp":1773908040074,"version":"3.50.1"},"reference-count":27,"publisher":"FapUNIFESP (SciELO)","issue":"8","license":[{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Neuro-Psiquiatr."],"abstract":"<jats:p>ABSTRACT  Background:  More than one-third of COVID-19 patients present neurological symptoms ranging from anosmia to stroke and encephalopathy. Furthermore, pre-existing neurological conditions may require special treatment and may be associated with worse outcomes. Notwithstanding, the role of neurologists in COVID-19 is probably underrecognized.  Objective:  The aim of this study was to report the reasons for requesting neurological consultations by internists and intensivists in a COVID-19-dedicated hospital.  Methods:  This retrospective study was carried out at Hospital das Cl\u00ednicas da Faculdade de Medicina da Universidade de S\u00e3o Paulo, Brazil, a 900-bed COVID-19 dedicated center (including 300 intensive care unit beds). COVID-19 diagnosis was confirmed by SARS-CoV-2-RT-PCR in nasal swabs. All inpatient neurology consultations between March 23rd and May 23rd, 2020 were analyzed. Neurologists performed the neurological exam, assessed all available data to diagnose the neurological condition, and requested additional tests deemed necessary. Difficult diagnoses were established in consensus meetings. After diagnosis, neurologists were involved in the treatment.  Results:  Neurological consultations were requested for 89 out of 1,208 (7.4%) inpatient COVID admissions during that period. Main neurological diagnoses included: encephalopathy (44.4%), stroke (16.7%), previous neurological diseases (9.0%), seizures (9.0%), neuromuscular disorders (5.6%), other acute brain lesions (3.4%), and other mild nonspecific symptoms (11.2%).  Conclusions:  Most neurological consultations in a COVID-19-dedicated hospital were requested for severe conditions that could have an impact on the outcome. First-line doctors should be able to recognize neurological symptoms; neurologists are important members of the medical team in COVID-19 hospital care.<\/jats:p>","DOI":"10.1590\/0004-282x20200089","type":"journal-article","created":{"date-parts":[[2020,7,16]],"date-time":"2020-07-16T15:37:55Z","timestamp":1594913875000},"page":"494-500","source":"Crossref","is-referenced-by-count":41,"title":["Neurological consultations and diagnoses in a large, dedicated COVID-19 university hospital"],"prefix":"10.1590","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2260-5986","authenticated-orcid":false,"given":"Adalberto","family":"STUDART-NETO","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8391-2117","authenticated-orcid":false,"given":"Bruno Fukelmann","family":"GUEDES","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2100-5869","authenticated-orcid":false,"given":"Raphael de Luca e","family":"TUMA","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1213-1687","authenticated-orcid":false,"given":"Antonio Edvan","family":"CAMELO FILHO","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7790-8111","authenticated-orcid":false,"given":"Gabriel Taricani","family":"KUBOTA","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6828-9600","authenticated-orcid":false,"given":"Bruno Di\u00f3genes","family":"IEPSEN","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4482-5659","authenticated-orcid":false,"given":"Gabriela Pantale\u00e3o","family":"MOREIRA","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8121-7572","authenticated-orcid":false,"given":"J\u00falia Chartouni","family":"RODRIGUES","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9504-4211","authenticated-orcid":false,"given":"Ma\u00edra Medeiros Honorato","family":"FERRARI","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  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Dis"},{"key":"ref9","doi-asserted-by":"crossref","DOI":"10.1212\/WNL.0000000000009848","article-title":"Clinical characteristics and outcomes of inpatients with neurologic disease and COVID-19 in Brescia, Lombardy, Italy","author":"Benussi A","year":"2020","journal-title":"Neurology"},{"issue":"2","key":"ref10","doi-asserted-by":"crossref","first-page":"105","DOI":"10.14802\/jmd.20042","article-title":"COVID-19: an early review of its global impact and considerations for Parkinson\u2019s disease patient care","volume":"13","author":"Bhidayasiri R","year":"2020","journal-title":"J Mov Disord"},{"issue":"2020","key":"ref11","doi-asserted-by":"crossref","first-page":"107122","DOI":"10.1016\/j.yebeh.2020.107122","article-title":"Epilepsy and COVID-19: Associations and important considerations","volume":"108","author":"Kuroda N","year":"2020","journal-title":"Epilepsy 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