一百年前,流感大流行席卷全球,与神经系统疾病的发展相吻合,因其主要症状的发生而被命名为“嗜睡性脑炎”,突然发作的嗜睡,发展成昏迷或逐渐消退。在1917年至1920年之间,流感的死亡率>2000万,而脑炎的死亡率约为100万。要从这场大流行中吸取教训,将其与COVID-19大流行进行比较是有意义的,这发生在100年后。生物医学的进步使测试成为可能,疫苗接种,和药物治疗伴随着公共卫生措施,如社会距离,接触追踪,戴口罩,经常洗手。从今天的角度来看,这些公共卫生措施是历史悠久的,但没有充分证明有效,特别是在疫苗接种策略的背景下应用时。此外,学校封锁的保护作用,大学,和其他机构以及对旅行和个人去医院或养老院的限制并不确切。防备仍然是未来大流行的需求。临床试验应确定此类公共卫生措施的相对有效性,特别是将其用作疫苗接种和无症状个体个体测试的组合策略。对于神经学家来说,重要的是要认识到,在大流行期间,急性中风和其他神经系统紧急情况的治疗可能性会降低,以前导致死亡率和痛苦的增加。加强对未来大流行的准备,神经科医师扮演重要角色,由于急性和慢性神经患者的病例负荷会更高以及康复的需求。最后,可能会增加新的慢性形式的病毒后疾病,就像一个世纪前的脑炎后帕金森病一样,现在已经发生了很长的COVID。
One hundred years ago, an influenza pandemic swept across the globe that coincided with the development of a neurological condition, named \"encephalitis lethargica\" for the occurrence of its main symptom, the sudden onset of sleepiness that either developed into coma or gradually receded. Between 1917 and 1920, mortality of the flu was >20 million and of encephalitis lethargica approximately 1 million. For lessons to be learned from this pandemic, it makes sense to compare it with the COVID-19 pandemic, which occurred 100 years later. Biomedical progress had enabled testing, vaccinations, and drug therapies accompanied by public health measures such as social distancing, contact tracing, wearing face masks, and frequent hand washing. From todays\' perspective, these public health measures are time honored but not sufficiently proven effective, especially when applied in the context of a vaccination strategy. Also, the protective effects of lockdowns of schools, universities, and other institutions and the restrictions on travel and personal visits to hospitals or old-age homes are not precisely known. Preparedness is still a demand for a future pandemic. Clinical trials should determine the comparative effectiveness of such public health measures, especially for their use as a combination strategy with vaccination and individual testing of asymptomatic individuals. It is important for neurologists to realize that during a pandemic the treatment possibilities for acute stroke and other neurological emergencies are reduced, which has previously led to an increase of mortality and suffering. To increase preparedness for a future pandemic, neurologists play an important role, as the case load of acute and chronic neurological patients will be higher as well as the needs for rehabilitation. Finally, new chronic forms of postviral disease will likely be added, as was the case for postencephalitic parkinsonism a century ago and now has occurred as long COVID.