Volume 33, Issue 12 (3-2026)
JSSU 2026, 33(12): 9684-9692 |
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Movahedinia M, Fallah R, karimi M, Emami Moghaddam M, Akbarian E, Poursalehi N. Evaluation of Neurological Symptoms in Children and Adolescents under 18 Hospitalized with COVID-19 at Shahid Sadoughi Hospital. JSSU 2026; 33 (12) :9684-9692
URL: http://jssu.ssu.ac.ir/article-1-6449-en.html
URL: http://jssu.ssu.ac.ir/article-1-6449-en.html
Mojtaba Movahedinia 
, Razieh Fallah , Mehran karimi * , Maryam Emami Moghaddam , Elahe Akbarian , Negareh Poursalehi
, Razieh Fallah , Mehran karimi * , Maryam Emami Moghaddam , Elahe Akbarian , Negareh Poursalehi
Abstract: (10 Views)
Introduction: SARS-CoV-2 virus also affects children by causing a wide range of symptoms, including neurological involvement. This study investigated the frequency and pattern of neurological manifestations in pediatric patients with COVID-19.
Methods: This descriptive–analytical study was conducted on children under 18 years of age with COVID-19 who were referred to the pediatric emergency department of Shahid Sadoughi Hospital or referred from other centers. Demographic information, clinical symptoms with emphasis on neurological manifestations, complications, and diagnostic results including RT-PCR and lung CT scans were recorded. Followed-up after discharge was conducted by interviewing parents. After coding and checking the accuracy, the data were analyzed with SPSS version 16 software.
Results: A total of 191 children (49.7% boys and 50.3% girls) were studied. The most common neurological manifestation was motor disorders such as imbalance, weakness, tremor, and limb pain (14.9%). This was followed by seizures (12.2%), headache and impaired consciousness (8.8%). Symptoms such as dizziness, anorexia, fatigue, and lethargy were reported in 22.1% of cases. In total, 48.2% of patients had at least one neurological symptom. There was no significant association between the occurrence of neurological symptoms and gender, underlying disease, or length of hospitalization; however, headache was more prevalent with increasing age (p<0.01) and movement disorders were more common in the 5–13-year age group (p<0.001). The presence of ground glass appearance on lung CT scan was also associated with impaired consciousness (p=0.01).
Conclusion: Neurological symptoms, especially movement disorders and headache, are relatively common among children with COVID-19, and some of them are related to age and lung imaging findings; while gender, underlying disease, and length of hospitalization do not play a role in the occurrence of these symptoms.
Methods: This descriptive–analytical study was conducted on children under 18 years of age with COVID-19 who were referred to the pediatric emergency department of Shahid Sadoughi Hospital or referred from other centers. Demographic information, clinical symptoms with emphasis on neurological manifestations, complications, and diagnostic results including RT-PCR and lung CT scans were recorded. Followed-up after discharge was conducted by interviewing parents. After coding and checking the accuracy, the data were analyzed with SPSS version 16 software.
Results: A total of 191 children (49.7% boys and 50.3% girls) were studied. The most common neurological manifestation was motor disorders such as imbalance, weakness, tremor, and limb pain (14.9%). This was followed by seizures (12.2%), headache and impaired consciousness (8.8%). Symptoms such as dizziness, anorexia, fatigue, and lethargy were reported in 22.1% of cases. In total, 48.2% of patients had at least one neurological symptom. There was no significant association between the occurrence of neurological symptoms and gender, underlying disease, or length of hospitalization; however, headache was more prevalent with increasing age (p<0.01) and movement disorders were more common in the 5–13-year age group (p<0.001). The presence of ground glass appearance on lung CT scan was also associated with impaired consciousness (p=0.01).
Conclusion: Neurological symptoms, especially movement disorders and headache, are relatively common among children with COVID-19, and some of them are related to age and lung imaging findings; while gender, underlying disease, and length of hospitalization do not play a role in the occurrence of these symptoms.
Type of Study: Original article |
Subject:
Neurology
Received: 2025/05/20 | Accepted: 2025/09/16 | Published: 2025/05/5
Received: 2025/05/20 | Accepted: 2025/09/16 | Published: 2025/05/5
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