后COVID疲劳与医院住院后皮层厚度减少有关
Tim J Hartung1, Florentin Steigerwald1, Amy Romanello1,2
1Department of Neurology and Experimental Neurology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Annals of clinical and translational neurology
|November 25, 2025
概括
住院治疗COVID-19可能会导致长期的大脑变化,包括皮质厚度和海马体积的减少. 这些结构性大脑变化与患者的疾病严重程度和持续疲劳有关.
科学领域:
- 神经科学是一个神经科学.
- 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:
- 在COVID-19之后,神经心理症状很常见.
- 在COVID-19患者中观察到大脑结构的变化.
- 大脑变化与COVID后疲劳/认知缺陷之间的联系尚不清楚.
研究的目的:
- 在COVID-19住院后评估结构性大脑变化.
- 研究大脑变化,认知表现和疲劳之间的关联.
主要方法:
- 分析了来自57名COVID-19幸存者和57名健康对照者的MRI数据.
- 使用高分辨率T1加权MRI评估皮层厚度和皮层下体积.
- 与认知 (MoCA) 和疲劳 (FSS) 评分相关的大脑指标.
主要成果:
- 在COVID-19患者中,皮质厚度 (近海马环,叶) 和海马体积减少.
- 较大的急性COVID-19严重程度与皮质厚度降低相关,特别是在嗅觉系统.
- 在极和带状回环中皮层厚度的减少与更高的疲劳水平有关.
结论:
- 长期持续的宏观结构性大脑变化发生在中度至严重的COVID-19后.
- 这些大脑变化与急性疾病严重程度和长期疲劳相关.
- 早期识别和干预对于患有持续大脑变化风险的患者至关重要.
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