Mini-review on SARS-CoV-2 infection and neurological manifestations: A Perspective
: The Coronavirus, also known as SARS-CoV-2 (Severe Acute Respiratory Syndrome Corona Virus-19), due to its depth impact on acute respiratory dysfunction and mortality, has thrown the world into chaos with its splendid rate of transmission. Recent research findings suggest that the loss of involuntary breathing control in the brainstem, which leads to death, is a clear indicator of neurological involvement.The nose to brain entry is the promising gateway of SARS-CoV-2 to reach the brain via systemic circulatory distribution subsequent infection of the lung. The loss of involuntary control of breathing is a result of an active gateway of systemic blood circulation through the lungs into the brain. Early neurological symptoms like loss of smell, convulsions, and ataxia are the clues of neurological involvement and central nervous system entry of SARS-CoV-2 that further become fatal, life-threatening and require artificial respiration and emergency admissions. As per studies investigated on Wuhan hospitalized patients of SARS-CoV-2, the involvement of SARS-CoV-2 in the central nervous system (CNS) has three major gateways: Direct involvement into CNS includes headache, ataxia, dizziness, altered or impaired consciousness, acute stroke or seizures; peripheral involvement includes impaired taste, smell, vision and altered nociception; and skeletal muscle impairment like skeletal muscle disorders, acute paralysis in a particular area of the body. In the previous era, most studied and researched viruses were beta coronavirus and mouse hepatitis virus, which were studied for acute and chronic encephalitis and multiple sclerosis (MS). Although the early symptoms of SARS-CoV are respiratory pathogenesis, the differential diagnosis should always be considered for neurological perspective to stop mortalities.