The host immunity |
Direct cytopathic effects of SARS-CoV-2 |
Neurological damage and dysfunctions |
Neurological manifestations and sequelae |
Pathology |
Neurological Manifestations |
Neuroinflammation |
Hyposmia, Hypogeusia, Headache, Dizziness, Diplopia, Ophthalmoplegia, Delirium, Polyneuritis cranialis, Ataxia, Guillain-Barré syndrome, Encephalitis, Hypoxic encephalopathy, Ischemic stroke, Acute necrotizing, Encephalopathy |
Expression of ACE2 and other receptors |
Systemic inflammation and cytokine storm |
Dysregulated RAAS |
Agent factors: mutations and variants |
Endothelitis and vasculopathy |
Hypoxaemic injury |
Other factors: pre-existing disorders, involvement of other organs, iatrogenic factors |
Coagulopathy and thrombosis |
Coagulopathy and thrombosis |
|
Exacerbation of underlying disease |
Viral invasion through the neurotropic pathway |
Neural (olfactory bulb) |
Paracellular (circulation) |
Retrograde (vagus) |