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Computed tomography features of cerebrovascular complications in intensive care unit patients with severe COVID-19

Vinícius de Padua Vieira Alves1, Ananda Altoé2, Vanessa Veloso1

  • 1Universidade Federal Fluminense (UFF), Niterói, RJ, Brazil.

Radiologia Brasileira
|October 4, 2021
PubMed

Insights

Computed tomography (CT) revealed acute cerebrovascular complications in severely ill coronavirus disease 2019 (COVID-19) patients. COVID-19-associated coagulopathy may increase the risk of ischemic and hemorrhagic infarction.

Area of Science:

  • Neurology
  • Radiology
  • Infectious Diseases

Background:

  • Severely ill patients with coronavirus disease 2019 (COVID-19) admitted to the intensive care unit are at risk for acute cerebrovascular complications.
  • Computed tomography (CT) is a key imaging modality for diagnosing these complications.

Purpose of the Study:

  • To report the CT features of acute cerebrovascular complications in critically ill COVID-19 patients.
  • To investigate the association between COVID-19 and cerebrovascular events.

Main Methods:

  • Retrospective analysis of 29 intensive care unit patients with confirmed COVID-19.
  • Brain CT scans were analyzed for cerebrovascular complications.
  • Demographic, clinical, and laboratory data (including coagulation and C-reactive protein) were collected.

Main Results:

  • CT revealed acute cerebrovascular complications in 6 out of 27 eligible patients (22%).
  • The affected patients ranged in age from 49 to 81 years.
  • No complications were observed in the remaining 21 patients (aged 36-82 years).

Conclusions:

  • Radiologists must recognize the risk of cerebrovascular complications in COVID-19 patients.
  • COVID-19-associated coagulopathy is likely multifactorial, increasing the risk of both ischemic and hemorrhagic infarction.
Abstract

Keywords:
Blood coagulation disordersCerebrovascular disordersCoronavirus infections/complicationsTomography, X-ray computed

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