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. 2023 Apr 17;17:1169740. doi: 10.3389/fnins.2023.1169740

TABLE 2.

Comparison of infection routes and clinical manifestations of the CNS and the PNS caused by coronaviruses.

Type CNS PNS
Route of infection Neurons retrograde Receptor binding Olfactory system Trojan horse mechanism Direct destruction Indirect destruction
Clinical manifestation Headache, dizziness, cognitive impairment, acute cerebrovascular disease, epilepsy. Reduced or even loss of smell and related neurological disorders. Encephalitis, neuritis, and other inflammatory diseases of the nervous system. Symptoms, Muscle atrophy, muscle weakness, loss of muscle reflexes, inability to move freely, and hypogeusia, neuralgia. Guillain-Barre syndrome (GBS), facial and neuritis.