在COVID-19感染中神经成像频谱:单中心体验
Sarbesh Tiwari1, Pawan Kumar Garg1, Samhita Panda2
1Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
The Indian journal of radiology & imaging
|June 26, 2023
概括
在COVID-19患者的神经影像显示出常见的神经复杂症,如缺血性和出血性中风. 还观察到各种各样的副传染性发现,扩大了我们对病毒的理解.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 传染性疾病 传染性疾病
背景情况:
- 冠状病毒疾病2019 (COVID-19) 是一种多系统性疾病,已确立的神经系统参与.
- COVID-19的神经和神经成像特征已被广泛研究.
- 了解这些特征对于在流行病期间管理患者至关重要.
研究的目的:
- 为了阐明在印度的第一和第二波疫情期间COVID-19患者的神经放射学发现.
- 为了将神经症状与成像发现相关联.
- 为了确定COVID-19的常见和罕见的神经表现.
主要方法:
- 在2020年3月至2021年5月期间接受神经成像 (CT和/或MRI) 的180名COVID-19阳性患者的单中心回顾性研究.
- 记录了呈现神经病情和成像发现,将其分类为缺血性中风,出血性中风,副传染性脱髓化,急性脑炎综合征和全球缺氧变化.
- 排除了与年龄相关的,慢性和偶然的发现.
主要成果:
- 在42.7%的患者中存在缺血性发现,在12.2%的患者中存在出血性中风.
- 在5名患者中观察到低毒性缺血性变化.
- 其他发现包括小脑炎,瘤性脱髓化,COVID-19相关脑炎,横向髓炎和吉兰-巴雷综合征.
结论:
- COVID-19的神经表现很常见,人们对病理生理学的理解也在不断发展.
- 病理生理学涉及神经变,免疫激活,细胞因子风暴,血管炎和副传染性过程.
- 缺血性中风是最常见的成像发现,其次是出血性中风,以及各种类型的感染性变化.
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