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. 2020 Dec 30;12:170. doi: 10.1186/s13195-020-00744-w

Table 1.

Pathophysiological processes contributing to increased risk of chronic neurological disease, including dementia, in COVID-19 patients

References
1. Hypoxia and cerebral hypoperfusion secondary to cardiorespiratory disease [25, 26]
 - Hypoxic-ischaemic brain injury, diffuse white matter damage
2. Coagulopathy, with thrombotic occlusion of cerebral blood vessels [22]
 - Cerebral artery thrombosis, disseminated intravascular coagulation
3. Cerebral microvascular damage and dysfunction [23, 24]
 - Endotheliitis, pericyte damage, BBB leakiness, neurovascular dysfunction, impaired autoregulation, impaired vascular/para-vascular drainage
4. Dysregulation of renin-angiotensin system [125127, 160, 161]
 - Loss of regulatory RAS and overactivity of classical RAS signalling
5. SARS-CoV-2 encephalitis / post-infective encephalitis (rare) [27, 28, 38], reviewed in [5]
 - CNS viral neuroinvasion via olfactory nerve fibres or vasculature/post-infective immune injury to CNS