No evidence for neuronal damage or astrocytic activation in cerebrospinal fluid of Neuro-COVID-19 patients with long-term persistent headache

Author:

de Boni Laura,Odainic Alexandru,Gancarczyk Natalie,Kaluza Luisa,Strassburg Christian P.,Kersting Xenia A. K.,Wüllner Ullrich,Schmidt Susanne V.,Petzold Gabor C.

Abstract

AbstractHeadache is one of the most common neurological manifestations of COVID-19, but it is unclear whether chronic headache as a symptom of Post-COVID-19 is associated with ongoing CNS damage. We compared cerebrospinal fluid (CSF) levels of markers of CNS damage and inflammation in Post-COVID-19 patients with persistent headache to hospitalized acute COVID-19 patients with neurological symptoms and to non-COVID-19 disease-controls. CSF levels of neurofilament light chain, Ubiquitin carboxyl-terminal hydrolase L1 and Tau were similar in patients with persistent headache in post-COVID-19 compared to acute COVID-19 patients and all control groups. Levels of glial fibrillary astrocytic protein were lower in patients with persistent headache in post-COVID-19 compared to some control groups of patients with neurological disease. Therefore, our pilot study of CSF markers indicates that persistent post-COVID-19 headache is not a sign of underlying neuronal damage or glial activation.

Funder

HORIZON EUROPE Excellent Science

Publisher

Springer Science and Business Media LLC

Subject

Neurology (clinical),Neurology

Reference10 articles.

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