Neural and Cognitive Consequences of COVID-19 Survival

San Francisco Veterans Affairs Medical Center

Status

Enrolling

Conditions

COVID-19

Concentration Ability Impaired

COVID Long-Haul

Fatigue

Memory Deficits

Brain Fog

COVID-19 Pandemic

Treatments

Other: cross-sectional MRI and EEG assessments (NO INTERVENTION)

Study type

Observational

Funder types

Other U.S. Federal agency

Identifiers

NCT06208943

CX002322

Details and patient eligibility

About

The novel coronavirus SARS-CoV-2 infection, COVID, continues to rage throughout the world with 115,000,000 confirmed cases and over 2,500,000 deaths (as of Mar 3, 2021). This translates to millions of people surviving COVID19 infection. While the lungs are ground zero, COVID tears through organ systems from brain to blood vessels. We are now beginning to see people recover but complain of ongoing problems, including lingering cognitive problems, depression, and anxiety. We have brought together 2 laboratories with complementary techniques including psychological testing and neuroimaging methods togethers with markers in the blood that may signal damage in the brain. A close look at these problems is timely and imperative if we are to understand the pathophysiology of 'COVID brain' and prepare for downstream problems.

Full description

The SARS-CoV-2 pandemic has been going on for over a year worldwide, with 115,000,000 confirmed cases and over 2,500,000 deaths (as of Mar 3, 2021). We are seeing people recover from the initial COVID infection with complaints of ongoing problems. An increasing number of people are complaining of cognitive deficits and depression/anxiety.

Methodologically, we have brought together two laboratories studying neurocognitive impairment using an EEG, MRI, and behavioral approach as well as laboratory-based data. This study queries neuropsychological functions in individuals using a neuropsychological battery, EEG-based measures, functional MRI (connectivity) and structural MRI (gray and white matter volumes, myelin, micro-bleeds). In addition, we have preliminary data to show a continued increase in plasma cytokines in COVID survivors. Plasma isolated neuronal enriched extracellular vesicles (nEVs) showed an increase in amyloid beta, neurofilament light and pT181-Tau, all proteins associated with neurodegeneration.

The overall aim is to determine the extent of cognitive, clinical, and neurological damage in people recovered from COVID.

Enrollment

150 estimated patients

Sex

All

Ages

18 to 70 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Our studies require some in-person visits to our research lab, located at 42nd Ave and Clement St in San Francisco.
Because this study includes an MRI, part of the screening process will be to ensure you don't have any metal in your body, you do not have head or neck tattoos, and you are comfortable inside the MRI scanner.
18-70 years with a confirmed COVID infection at least 3 months ago.
Negative metal screen for MRI safety
Normal (or corrected to normal) vision

Exclusion criteria

Past or present neurological problems (including seizures and head trauma resulting in neurological or cognitive symptoms)
Loss of consciousness (LOC) greater than 30 minutes or any LOC with neurologic symptoms
Major medical conditions (e.g., seizures disorders, treatment with anticonvulsant medication, endocrine disorders, significant cardiac pathology)
Substance dependence, within the past year, or failed urine toxicology on the day of neuroimaging sessions
Known claustrophobia
Current pregnancy
IQ estimate < 70