神经学症状的COVID-19患者的大脑MRI发现:系统性审查和元分析
Amir Masoud Afsahi1, Alexander M Norbash2, Shahla F Syed3
1Department of Radiology, University of California, San Diego, CA, USA. amir.masoud.afsahi@gmail.com.
Journal of neurology
|August 3, 2023
概括
在2019年冠状病毒病 (COVID-19) 中神经症状很常见. 大脑MRI扫描揭示了急性心脏病发作,嗅球问题,白质变化和受影响患者的微型血液等频繁发现.
科学领域:
- 神经学 神经学
- 放射学 放射学是指放射学
- 传染性疾病 传染性疾病
背景情况:
- 超过三分之一的2019年新冠病毒病 (COVID-19) 患者经历了神经表现.
- 神经系统的参与是COVID-19的一个公认的并发症.
研究的目的:
- 系统地审查和总结脑磁共振成像 (MRI) 在出现神经症状的COVID-19患者中的发现.
主要方法:
- 按照系统审查和元分析 (PRISMA) 优先报告项目清单进行的系统审查.
- 在PubMed/MEDLINE,Embase,Scopus和Web of Science数据库中进行全面的文献搜索.
主要成果:
- 分析了25篇出版物,包括3118名患有神经症状的COVID-19患者.
- 常见的MRI发现包括急性/次急性心脏病发作 (22%),嗅球异常 (22%),白质异常 (20%) 和脑微出血 (17%).
结论:
- 很大一部分COVID-19患者表现出脑部MRI检测到的神经异常.
- 观察到的关键MRI变化是急性/次急性心脏病发作,嗅球异常,白质异常和脑微出血.
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