Cited by 416Long-Term Effects of COVID-19Traumatic Brain Injury ResearchInfectious Encephalopathies and Encephalitis

The neurobiology of long COVID

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Monje, Michelle, Iwasaki, Akiko·2022·Neuron

Abstract

Persistent neurological and neuropsychiatric symptoms affect a substantial fraction of people after COVID-19 and represent a major component of the post-acute COVID-19 syndrome, also known as long COVID. Here, we review what is understood about the pathobiology of post-acute COVID-19 impact on the CNS and discuss possible neurobiological underpinnings of the cognitive symptoms affecting COVID-19 survivors. We propose the chief mechanisms that may contribute to this emerging neurological health crisis.

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Crossref · 10.1016/j.neuron.2022.10.006

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  • Acute and long COVID encompass a wide range of neurological and neuropsychiatric symptoms termed 'brain fog', as seen by cognitive impairment phenotypes like slower information processing speed and worse executive function.

    “Acute and long COVID encompass a wide range of neurological and neuropsychiatric symptoms termed ‘brain fog’, as seen by cognitive impairment phenotypes like slower information processing speed and worse executive function [5], reflecting AD-like cognitive dysfunction.”

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  1. Gomes I, Karmirian K, Oliveira JT, Pedrosa C, Mendes MA, Rosman FC, Chimelli L, and Rehen S. (2021). SARS-CoV-2 infection of the central nervous system in a 14-month-old child: A case report of a complete autopsy. Lancet Reg Health Am 2, 100046. 10.1016/j.lana.2021.100046. PMC8397543 34485969 · DOI · Paper page

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Authors
Monje, M., & Iwasaki, A.
Affiliations
Howard Hughes Medical Institute (US)
Corresponding author
  • Monje, Michelle
  • Iwasaki, Akiko
Venue
Neuron
Publisher
Elsevier BV
Published
2022-11
Volume
110
Issue
21
Pages
3484-3496
ISSN
0896-6273 (ISSN-L)
OpenAlex
W4303182677
Cited by
415
References
126
Citations by year
2026: 59 · 2025: 105 · 2024: 146 · 2023: 101 · 2022: 3 · 2013: 1
FWCI
12.82
Type
journal article
Language
en
Open access
Locations
  • Neuron (publishedVersion, cc-by)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (UL1TR001863)
  • National Cancer Institute (R01CA258384, R01CA263500, P50CA165962, U19CA264504)
  • National Institute of Allergy and Infectious Diseases (R01AI157488)
  • National Institute of Neurological Disorders and Stroke (R01NS092597, DP1NS111132)
  • National Center for Advancing Translational Sciences
Topics
  • Health Sciences › Medicine › Neurology › Long-Term Effects of COVID-19
  • Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
  • Health Sciences › Medicine › Infectious Diseases › Infectious Encephalopathies and Encephalitis
Keywords
long COVID, neurobiology, central nervous system, neuropsychiatric symptoms, cognitive symptoms, pathobiology, COVID-19 survivors
MeSH terms
COVID-19, SARS-CoV-2, Post-Acute COVID-19 Syndrome, Mental Disorders, Humans, Nervous System Diseases

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