{"id":197294,"date":"2021-09-17T10:19:24","date_gmt":"2021-09-17T13:19:24","guid":{"rendered":"https:\/\/eephcfmusp.org.br\/portal\/online\/?p=197294"},"modified":"2025-07-23T15:35:11","modified_gmt":"2025-07-23T18:35:11","slug":"manifestacoes-neurologicas-de-covid-19","status":"publish","type":"post","link":"https:\/\/hcxfmusp.org.br\/portal\/manifestacoes-neurologicas-de-covid-19\/","title":{"rendered":"Manifesta\u00e7\u00f5es neurol\u00f3gicas de Covid-19: entenda os efeitos"},"content":{"rendered":"

A pandemia do novo coronav\u00edrus j\u00e1 passa de um ano e meio de dura\u00e7\u00e3o, e descobertas diversas continuam surgindo entre os pesquisadores, especialmente sobre as muta\u00e7\u00f5es do v\u00edrus, sintomas, sequelas e at\u00e9 manifesta\u00e7\u00f5es neurol\u00f3gicas de Covid-19<\/strong>.<\/span><\/p>\n

Muitos pacientes contaminados tiveram manifesta\u00e7\u00f5es neurol\u00f3gicas de Covid-19, <\/strong>como a s\u00edndrome de Guillain-Barr\u00e9, encefalomielite disseminada aguda (ADEM), acidente vascular cerebral isqu\u00eamico (AVC), trombose venosa cerebral e crises epil\u00e9pticas.<\/span><\/p>\n

\u201cComo a Covid-19 se tornou muito comum, \u00e9 dif\u00edcil dizer o quanto a doen\u00e7a realmente causa essas altera\u00e7\u00f5es, ou se algumas dessas associa\u00e7\u00f5es s\u00e3o coincid\u00eancias. Nosso conhecimento tamb\u00e9m foi mudando com o tempo. No in\u00edcio da pandemia, havia muita preocupa\u00e7\u00e3o quanto \u00e0 incid\u00eancia de meningoencefalite aguda, o que hoje sabemos que \u00e9 muito incomum\u201d, explica Dr. Bruno Fukelmann Guedes, neurologista do grupo de neurologia de emerg\u00eancia e do grupo de neuroinfec\u00e7\u00f5es do HCFMUSP<\/a>.<\/span><\/p>\n

Por que ocorrem manifesta\u00e7\u00f5es neurol\u00f3gicas de Covid-19?<\/strong><\/span><\/h2>\n

Pacientes com Covid-19 podem desencadear AVC porque a infec\u00e7\u00e3o altera os sistemas de coagula\u00e7\u00e3o e, consequentemente, pode levar a altera\u00e7\u00f5es card\u00edacas e tromboses.<\/span><\/p>\n

\u201cOs verdadeiros desafios que vivemos na pandemia ocorreram pela dificuldade de diagn\u00f3stico, por v\u00e1rios motivos: o medo de ir ao hospital manteve pacientes com AVC leve em casa e sem investiga\u00e7\u00e3o. Al\u00e9m disso, muitos pacientes tiveram AVC durante interna\u00e7\u00e3o com v\u00e1rios outros problemas, como intuba\u00e7\u00e3o e seda\u00e7\u00e3o, o que tornou o diagn\u00f3stico mais dif\u00edcil e, infelizmente, tardio em muitos casos\u201d, aponta Dr. Bruno.<\/span><\/p>\n

O especialista tamb\u00e9m relata que, em muitas partes do mundo, foram apontados casos de AVC que n\u00e3o tiveram suas causas esclarecidas \u2013 o que pode ser consequ\u00eancia de todos esses fatores.<\/span><\/p>\n

S\u00edndrome de Guillain-Barr\u00e9 e Covid-19<\/strong><\/span><\/h2>\n

Essa \u00e9 uma condi\u00e7\u00e3o autoimune que atinge os nervos do paciente, afetando os m\u00fasculos e os membros inferiores e superiores. A s\u00edndrome costuma se desencadear ap\u00f3s um caso de infec\u00e7\u00e3o, como o de gripe.<\/span><\/p>\n

\u201cDesde o in\u00edcio da pandemia, foram relatados in\u00fameros casos de s\u00edndrome de Guillain-Barr\u00e9<\/a><\/span> <\/strong>em pacientes contaminados e ap\u00f3s a Covid-19, o que deu a impress\u00e3o de que a incid\u00eancia de casos teria aumentado muito, mas isso ainda \u00e9 incerto. Enquanto na It\u00e1lia foi reportado um aumento no n\u00famero de casos (comparado com anos anteriores), o mesmo n\u00e3o aconteceu em um grande estudo no Reino Unido. No Brasil, ainda n\u00e3o temos dados confi\u00e1veis\u201d, afirma Dr. Bruno.<\/span><\/p>\n

Al\u00e9m de manifesta\u00e7\u00f5es neurol\u00f3gicas de Covid-19<\/strong>, houve relatos de s\u00edndrome de Guillain-Barr\u00e9 ap\u00f3s a vacina\u00e7\u00e3o, at\u00e9 mesmo no Brasil, de acordo com a Ag\u00eancia Nacional de Vigil\u00e2ncia Sanit\u00e1ria (ANVISA)<\/a>. O efeito adverso \u00e9 raro, mas a ANVISA j\u00e1 solicitou aos fabricantes dos imunizantes AstraZeneca, Janssen e CoronaVac que incluam o alerta nas bulas das vacinas.<\/span><\/p>\n

Tamb\u00e9m vale refor\u00e7ar que a imuniza\u00e7\u00e3o segue em recomenda\u00e7\u00e3o, j\u00e1 que ajuda a diminuir os casos graves e risco de \u00f3bito.<\/span><\/p>\n

Neurologia na Emerg\u00eancia em tempos de Covid<\/strong><\/span><\/h2>\n

Em 2020, a rotina da neurologia de emerg\u00eancia mudou muito. Em pronto-atendimentos de hospitais secund\u00e1rios e da sa\u00fade suplementar, o n\u00famero de casos por doen\u00e7as benignas, como enxaqueca, vertigem e formigamentos, diminuiu drasticamente.<\/span><\/p>\n

Alguns servi\u00e7os, inclusive, suspenderam os atendimentos de neurologia no pronto-socorro – as estruturas hospitalares foram realocadas para o acolhimento dos casos de Covid-19, mas outras manifesta\u00e7\u00f5es neurol\u00f3gicas<\/strong> graves continuavam surgindo.<\/span><\/p>\n

\u201cContinuar assistindo bem os pacientes neurol\u00f3gicos, apesar dessas dificuldades, foi o verdadeiro desafio da pandemia para n\u00f3s. Com a baixa no n\u00famero de casos novos, estamos lentamente retomando os padr\u00f5es da era pr\u00e9-Covid\u201d, conta Dr. Bruno.<\/span><\/p>\n

\"Manifesta\u00e7\u00f5esCurso de Emerg\u00eancias Neurol\u00f3gicas<\/span><\/strong><\/span><\/h3>\n

O curso sobre Emerg\u00eancias Neurol\u00f3gicas do HCX<\/a> aborda as situa\u00e7\u00f5es neurol\u00f3gicas mais comuns encontradas durante o atendimento no pronto-socorro.<\/span><\/p>\n

Durante as aulas, h\u00e1 encontros com especialistas que s\u00e3o refer\u00eancia no assunto para discuss\u00e3o de casos e esclarecimento de d\u00favidas. Os conte\u00fados ser\u00e3o liberados a cada m\u00eas at\u00e9 junho de 2022, data de finaliza\u00e7\u00e3o do curso.<\/span><\/p>\n

Seu conte\u00fado est\u00e1 dividido em 19 temas: Acidente vascular encef\u00e1lico hemorr\u00e1gico intraparenquimatoso; Cefaleia \u2013 abordagem inicial e diferencial; Neuro-oftalmologia: diplopia; Acidente vascular encef\u00e1lico \u2013 trombose venosa cerebral; Acidente vascular encef\u00e1lico isqu\u00eamico; Acidente vascular encef\u00e1lico \u2013 hemorragia subaracn\u00f3idea;\u00a0 Cefaleia \u2013 tratamento das cefaleias prim\u00e1rias; Vertigem; Coma; Delirium; Primeira crise\/escape de crise; Estado de mal epil\u00e9ptico; Meningites e Meningoencefalites bacterianas e virais; Encefalites; Neuro-oftalmologia \u2013 perda visual; Paralisias fl\u00e1cidas agudas \u2013 Guillain Barre; Paralisias fl\u00e1cidas agudas \u2013 Miastenia Gravis; Mielopatia aguda; e Urg\u00eancias em Dist\u00farbios do Movimento.<\/span><\/p>\n

A coordena\u00e7\u00e3o \u00e9 dos Drs. Marcelo Calderaro, Adalberto Studart, Carlos Eduardo B. Passos Neto, Guilherme Diogo da Silva e Lecio Figueira Pinto, e Dr. Bruno Guedes participa como professor.<\/span><\/p>\n

Acesse o nosso site<\/a> e confira todos os cursos que o HCX oferece!<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

A pandemia do novo coronav\u00edrus j\u00e1 passa de um ano e meio de dura\u00e7\u00e3o, e descobertas diversas continuam surgindo entre os pesquisadores, especialmente sobre as muta\u00e7\u00f5es do v\u00edrus, sintomas, sequelas e at\u00e9 manifesta\u00e7\u00f5es neurol\u00f3gicas de Covid-19. Muitos pacientes contaminados tiveram manifesta\u00e7\u00f5es neurol\u00f3gicas de Covid-19, como a s\u00edndrome de Guillain-Barr\u00e9, encefalomielite disseminada aguda (ADEM), acidente vascular […]<\/p>\n","protected":false},"author":149398,"featured_media":390828,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[390],"tags":[775,688,342,787,436,752,344,788,606,789,790],"class_list":["post-197294","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-atualizacao-covid-19","tag-covid-19","tag-eep","tag-emergencias-neurologicas","tag-escola-de-educacao-permanente","tag-especializacao-eep","tag-hcfmusp","tag-manifestacoes-neurologicas-de-covid-19","tag-neurologia","tag-sequelas-covid-19","tag-sindrome-de-guillain-barre"],"yoast_head":"\nManifesta\u00e7\u00f5es neurol\u00f3gicas de Covid-19: entenda os efeitos<\/title>\n<meta name=\"description\" content=\"A pandemia de Covid-19 j\u00e1 passa de um ano e maio, mas ainda est\u00e3o surgindo muitas descobertas, e as manifesta\u00e7\u00f5es neurol\u00f3gicas \u00e9 uma delas.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hcxfmusp.org.br\/portal\/manifestacoes-neurologicas-de-covid-19\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Manifesta\u00e7\u00f5es neurol\u00f3gicas de Covid-19: entenda os efeitos\" \/>\n<meta property=\"og:description\" content=\"A pandemia de Covid-19 j\u00e1 passa de um ano e maio, mas ainda est\u00e3o surgindo muitas descobertas, e as manifesta\u00e7\u00f5es neurol\u00f3gicas \u00e9 uma delas.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/hcxfmusp.org.br\/portal\/manifestacoes-neurologicas-de-covid-19\/\" \/>\n<meta property=\"og:site_name\" content=\"HCX - 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