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Related Concept Videos

Viral Meningitis01:18

Viral Meningitis

Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
Hemorrhagic Stroke ll: Pathophysiology01:29

Hemorrhagic Stroke ll: Pathophysiology

A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
Encephalitis l: Introduction01:19

Encephalitis l: Introduction

Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
Encephalitis ll: Pathophysiology01:26

Encephalitis ll: Pathophysiology

Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...
Cerebral Edema ll: Pathophysiology01:22

Cerebral Edema ll: Pathophysiology

Vasogenic edema is a major form of cerebral edema characterized by abnormal accumulation of fluid in the brain’s extracellular space due to disruption of the blood–brain barrier (BBB). The BBB is a specialized structure composed of endothelial cells connected by tight junctions, supported by astrocytic endfeet and a basement membrane. Under normal conditions, it tightly regulates the movement of ions, proteins, and solutes between the bloodstream and brain parenchyma. When this barrier loses...
Hepatic Encephalopathy01:29

Hepatic Encephalopathy

DefinitionHepatic encephalopathy is a reversible neurologic syndrome that results from advanced liver dysfunction or portosystemic shunting. It leads to disturbances in cognition, behavior, and motor function due to the brain’s exposure to gut-derived toxins that the liver fails to detoxify.EtiologyThis condition develops either in the setting of acute fulminant hepatitis or progressively during chronic liver disease, such as cirrhosis and portal hypertension. Portosystemic shunting—including...

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Related Experiment Video

Updated: Jun 24, 2026

In Vivo Tracking of Edema Development and Microvascular Pathology in a Model of Experimental Cerebral Malaria Using Magnetic Resonance Imaging
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COVID-19-associated Diffuse Leukoencephalopathy and Microhemorrhages.

Alireza Radmanesh1, Anna Derman1, Yvonne W Lui1

  • 1From the Department of Radiology, New York University Grossman School of Medicine, 660 First Ave, 2nd Floor, New York, NY 10016.

Radiology
|May 22, 2020
PubMed
Summary

Critically ill patients with coronavirus disease 2019 (COVID-19) showed specific brain imaging findings. These included white matter changes and microhemorrhages, suggesting neurological complications in severe COVID-19.

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Area of Science:

  • Neurology
  • Radiology
  • Infectious Diseases

Background:

  • Coronavirus disease 2019 (COVID-19) is linked to various neurological complications.
  • Brain imaging in COVID-19 patients has revealed findings like infarcts, hemorrhages, and encephalopathy.

Purpose of the Study:

  • To report and characterize specific brain imaging features in critically ill COVID-19 patients with persistent altered mental status.
  • To investigate potential pathogeneses of observed neurological findings in severe COVID-19.

Main Methods:

  • Magnetic Resonance Imaging (MRI) was performed on 11 critically ill COVID-19 patients.
  • Imaging analysis focused on white matter abnormalities and microhemorrhages.

Main Results:

  • Ten of 11 patients exhibited confluent T2 hyperintensity and mild restricted diffusion in deep and subcortical white matter.
  • Seven of 11 patients presented with multiple punctate microhemorrhages in juxtacortical and callosal white matter.

Conclusions:

  • Diffuse leukoencephalopathy and microhemorrhages are significant brain imaging findings in severe COVID-19.
  • These findings suggest a potential pattern of neurological injury associated with COVID-19.