在Covid-19相关的侵入性真菌鼻炎中进行MR成像.
Divya Pabbisetti1, Anantaram Gudipati, Subhash Kaul
1Department of Radiology, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India.
Neurology India
|October 21, 2024
概括
在印度的COVID-19幸存者中,侵袭性真菌鼻炎,特别是粘菌炎的急剧增加. 磁共振成像 (MRI) 对于早期诊断犀牛轨道脑粘膜病 (ROCM) 以及其并发症至关重要.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 在2019年新冠肺炎 (COVID-19) 后,在印度观察到侵袭性真菌鼻炎,特别是粘性肌炎的显著增加.
- 犀牛轨道脑粘膜炎 (ROCM) 是一种严重的,快速进展的感染.
- 早期诊断对于改善患者的生存和结果至关重要.
研究的目的:
- 分析后COVID-19患者侵入性真菌鼻炎的磁共振 (MR) 成像发现.
- 为早期诊断ROCM及其并发症建立一个MRI成像协议.
- 为了比较COVID-19相关和非COVID-19相关的ROCM之间的成像特征.
主要方法:
- 对MR成像表现的回顾性分析.
- 包括91个经组织病理学证实的COVID-19后侵袭性真菌鼻炎病例.
主要成果:
- 在51.6%的患者中,发生了与内传播的III期疾病.
- 持续参与是内传播的最早迹象.
- 直接对前额叶和叶进行膜入侵是脑部参与的最常见模式.
- 常见的并发症包括洞穴鼻腔卷入 (29.6%) 和骨髓炎 (45%).
结论:
- 在COVID-19幸存者的III阶段ROCM通常是由于从鼻腔直接传播到大脑叶.
- 洞穴鼻腔干扰和内动脉血管侵袭是最常见的血管并发症.
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