Department of Nuclear Medicine/PET-CT, Kowsar Hospital, Shiraz, Iran.
Assistant Professor of Clinical Radiology, Keck School of Medicine, University of Southern California (USC), Los Angles, CA, US.
J Neuroradiol. 2021 Feb;48(1):43-50. doi: 10.1016/j.neurad.2020.06.007. Epub 2020 Jun 27.
Various neurologic syndromes have been described in patients with COVID-19 and other coronavirus infections. In this paper, we systematically reviewed the available imaging findings of patients diagnosed with neurological symptoms associated with coronavirus infections. Diverse radiologic results in the context of different neurologic presentations have been demonstrated using CT and MRI. While many patients have normal imaging evaluations, some patients present with intra-axial and extra-axial abnormalities. Stroke (both ischemic and hemorrhagic), encephalomyelitis, meningitis, demyelinating disorders such as acute disseminated encephalomyelitis (ADEM), and encephalopathy have been reported. Familiarity with these radiologic patterns will guide radiologists and referring clinicians to consider coronavirus infections in patients with worsening or progressive neurologic findings, particularly during the current COVID-19 pandemic. As data on this topic is very limited, further research and investigation are required.
多种神经综合征已在 COVID-19 患者和其他冠状病毒感染患者中被描述。在本文中,我们系统地回顾了与冠状病毒感染相关的诊断为神经系统症状患者的现有影像学表现。通过 CT 和 MRI 显示了不同神经表现下不同的放射学结果。虽然许多患者的影像学检查正常,但一些患者存在脑内和脑外异常。已报道的疾病包括卒中等(缺血性和出血性)、脑脊髓炎、脑膜炎、脱髓鞘疾病如急性播散性脑脊髓炎(ADEM)和脑病。熟悉这些放射学模式将指导放射科医生和转诊临床医生在出现神经症状恶化或进展的患者中考虑冠状病毒感染,尤其是在当前 COVID-19 大流行期间。由于关于这个主题的数据非常有限,需要进一步的研究和调查。