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Abstract
Neurological long-term sequelae are increasingly considered an important challenge in the recent COVID-19 pandemic. However, most evidence for neurological symptoms after SARS-CoV-2 infection and central nervous system invasion of the virus stems from individuals severely affected in the acute phase of the disease. Here, we report long-lasting cognitive impairment along with persistent cerebrospinal fluid anti-SARS-CoV-2 antibodies in a female patient with unremarkable standard examination 6 months after mild COVID-19, supporting the implementation of neuropsychological testing and specific cerebrospinal fluid investigation also in patients with a relatively mild acute disease phase.
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1 University of Lübeck, Institute of Neurogenetics, Lübeck, Germany (GRID:grid.4562.5) (ISNI:0000 0001 0057 2672); University of Lübeck and University Medical Center of Schleswig-Holstein, Campus Lübeck, Department of Neurology, Lübeck, Germany (GRID:grid.4562.5) (ISNI:0000 0001 0057 2672)
2 Outpatient Practice for Neurology and Psychiatry, Lübeck, Germany (GRID:grid.4562.5)
3 University of Lübeck and University Medical Center of Schleswig-Holstein, Campus Lübeck, Department of Neurology, Lübeck, Germany (GRID:grid.4562.5) (ISNI:0000 0001 0057 2672)
4 University of Lübeck and University Medical Center of Schleswig-Holstein, Institute of Nutritional Medicine, Lübeck, Germany (GRID:grid.4562.5)
5 University of Lübeck and University Medical Center of Schleswig-Holstein, Institute of Nutritional Medicine, Lübeck, Germany (GRID:grid.4562.5); University of Lübeck and University Medical Center of Schleswig-Holstein, Department of Anesthesiology and Intensive Care, Lübeck, Germany (GRID:grid.4562.5)
6 University of Lübeck, Institute of Neurogenetics, Lübeck, Germany (GRID:grid.4562.5) (ISNI:0000 0001 0057 2672)
7 University of Lübeck and University Medical Center of Schleswig-Holstein, Institute of Nutritional Medicine, Lübeck, Germany (GRID:grid.4562.5); University Medical Center Schleswig-Holstein, Campus Lübeck, Department of Medicine I, Lübeck, Germany (GRID:grid.412468.d) (ISNI:0000 0004 0646 2097)
8 University of Lübeck and University Medical Center of Schleswig-Holstein, Campus Lübeck, Department of Neurology, Lübeck, Germany (GRID:grid.4562.5) (ISNI:0000 0001 0057 2672); University of Lübeck, Center of Brain, Behavior and Metabolism, Lübeck, Germany (GRID:grid.4562.5) (ISNI:0000 0001 0057 2672)