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Unusual lesion in the splenium of the corpus callosum and coronavirus infectious disease-19
Nivedita Agarwal, Rosella Martini1, Giovanni Pedrotti1
1Section of Anesthesia, Santa Maria del Carmine Hospital, Rovereto (TN), Italy.
Insights
COVID-19 can cause central nervous system lesions. This study explores MRI findings of a solitary brain lesion in a COVID-19 patient with altered mental status, aiding differential diagnosis.
Area of Science:
- Neurology
- Infectious Diseases
- Radiology
Background:
- Coronavirus infectious disease (COVID-19) impacts multiple organs, potentially causing central nervous system (CNS) lesions.
- Factors like cytokine storms, thromboembolic events, and aggressive treatments contribute to neurological complications in COVID-19 patients.
- Understanding the interaction between severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) and brain tissue is crucial for interpreting neuroimaging.
Abstract:
Coronavirus infectious diseases (COVID-19) is an emerging infectious disease that has taken a strong grip on the entire global community. The diagnosis per se is straightforward; however, the disease seems to affect multiple organs. Cytokine-storm, increased thromboembolic state, deranged overall homeostasis and aggressive medical treatment can cause a variety of lesions in the central nervous system. Interpretation of brain imaging findings will require a thorough understanding of the clinical status of the patient and treatment being offered, keeping in mind the several ways in which the viral pathogen, severe acute respiratory syndrome coronavirus-2 may interact with brain tissue. We present differential diagnosis of a MRI identified solitary lesion in the splenium of the corpus callosum, in a COVID-19 positive patient with altered mental status.
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