2 例 COVID-19 急性呼吸窘迫综合征患者的不典型脑部 MRI 表现
Unusual Brain MRI Pattern in 2 Patients with COVID-19 Acute Respiratory Distress Syndrome.
机构信息
From the Department of Radiology (S.T.-M., N.B., A.L., S.G., M.Z., J.H.)
From the Department of Radiology (S.T.-M., N.B., A.L., S.G., M.Z., J.H.).
出版信息
AJNR Am J Neuroradiol. 2020 Dec;41(12):2204-2205. doi: 10.3174/ajnr.A6817. Epub 2020 Sep 3.
Abstract
We report the cases of 2 patients hospitalized in our intensive care unit with confirmed coronavirus disease 2019 infection in whom brain MR imaging showed an unusual DWI pattern with nodular and ring-shaped lesions involving the periventricular and deep white matter. We discuss the possible reasons for these findings and their relationship to the infection.
摘要
我们报告了 2 例在我院重症监护病房住院的确诊为 2019 年冠状病毒病感染的患者，其脑部磁共振成像显示出一种不常见的弥散加权成像模式，表现为结节状和环形病变，累及脑室周围和深部白质。我们讨论了这些发现的可能原因及其与感染的关系。
相似文献
1
Unusual Brain MRI Pattern in 2 Patients with COVID-19 Acute Respiratory Distress Syndrome.2 例 COVID-19 急性呼吸窘迫综合征患者的不典型脑部 MRI 表现
AJNR Am J Neuroradiol. 2020 Dec;41(12):2204-2205. doi: 10.3174/ajnr.A6817. Epub 2020 Sep 3.
2
Clinical, Imaging, and Lab Correlates of Severe COVID-19 Leukoencephalopathy.严重 COVID-19 脑病的临床、影像和实验室相关性。
AJNR Am J Neuroradiol. 2021 Apr;42(4):632-638. doi: 10.3174/ajnr.A6966. Epub 2021 Jan 7.
3
COVID-19-associated Diffuse Leukoencephalopathy and Microhemorrhages.COVID-19 相关弥漫性脑白质病和微出血。
Radiology. 2020 Oct;297(1):E223-E227. doi: 10.1148/radiol.2020202040. Epub 2020 May 21.
4
COVID-19 leukoencephalopathy with subacute magnetic resonance imaging findings of vasculitis and demyelination.COVID-19 相关的血管炎和脱髓鞘性亚急性磁共振成像表现的脑白质病。
J Neurovirol. 2021 Aug;27(4):656-661. doi: 10.1007/s13365-021-00990-0. Epub 2021 Jun 8.
5
Cerebrovascular disease in patients with COVID-19: neuroimaging, histological and clinical description.COVID-19 患者的脑血管病：神经影像学、组织学和临床描述。
Brain. 2020 Oct 1;143(10):3089-3103. doi: 10.1093/brain/awaa239.
6
COVID-19-associated Leukoencephalopathy.新型冠状病毒肺炎相关白质脑病
Radiology. 2020 Sep;296(3):E184-E185. doi: 10.1148/radiol.2020201753. Epub 2020 May 14.
7
Coronavirus Disease (COVID-19)-Related Disseminated Leukoencephalopathy: A Retrospective Study of Findings on Brain MRI.冠状病毒病（COVID-19）相关的播散性脑白质病：脑 MRI 表现的回顾性研究。
AJR Am J Roentgenol. 2021 Apr;216(4):1046-1047. doi: 10.2214/AJR.20.24364. Epub 2021 Feb 17.
8
Brain magnetic resonance imaging findings in children with neurological complications of coronavirus disease 2019 (Omicron variant): a multicenter retrospective observational study.2019冠状病毒病（奥密克戎变异株）神经并发症患儿的脑磁共振成像结果：一项多中心回顾性观察研究
Pediatr Radiol. 2024 May;54(6):1012-1021. doi: 10.1007/s00247-024-05908-6. Epub 2024 Mar 28.
9
Neurologic Features in Severe SARS-CoV-2 Infection.严重SARS-CoV-2感染的神经系统特征
N Engl J Med. 2020 Jun 4;382(23):2268-2270. doi: 10.1056/NEJMc2008597. Epub 2020 Apr 15.
10
Severity of Chest Imaging is Correlated with Risk of Acute Neuroimaging Findings among Patients with COVID-19.胸部影像学严重程度与 COVID-19 患者急性神经影像学表现的风险相关。
AJNR Am J Neuroradiol. 2021 May;42(5):831-837. doi: 10.3174/ajnr.A7032. Epub 2021 Feb 4.
引用本文的文献
1
Postmortem brain 7T MRI with minimally invasive pathological correlation in deceased COVID-19 subjects.新冠死亡患者的尸检脑7T磁共振成像与微创病理相关性研究
Insights Imaging. 2022 Jan 15;13(1):7. doi: 10.1186/s13244-021-01144-w.
2
Long-term neuroimaging follow-up of COVID-19-related leukoencephalopathy.COVID-19 相关脑白质病的长期神经影像学随访。
Neuroradiology. 2021 Dec;63(12):2153-2156. doi: 10.1007/s00234-021-02829-1. Epub 2021 Oct 18.
3
Age-Associated Neurological Complications of COVID-19: A Systematic Review and Meta-Analysis.新型冠状病毒肺炎的年龄相关性神经并发症：一项系统评价与荟萃分析
Front Aging Neurosci. 2021 Aug 2;13:653694. doi: 10.3389/fnagi.2021.653694. eCollection 2021.
4
COVID-19 leukoencephalopathy with subacute magnetic resonance imaging findings of vasculitis and demyelination.COVID-19 相关的血管炎和脱髓鞘性亚急性磁共振成像表现的脑白质病。
J Neurovirol. 2021 Aug;27(4):656-661. doi: 10.1007/s13365-021-00990-0. Epub 2021 Jun 8.
5
Clinical and Radiological Profiles of COVID-19 Patients with Neurological Symptomatology: A Comparative Study.有神经症状的新冠肺炎患者的临床和影像学特征：一项对比研究。
Viruses. 2021 May 6;13(5):845. doi: 10.3390/v13050845.
6
Personalized Approach to Patient with MRI Brain Changes after SARS-CoV-2 Infection.针对新冠病毒感染后脑部磁共振成像改变患者的个性化治疗方法。
J Pers Med. 2021 May 21;11(6):442. doi: 10.3390/jpm11060442.
本文引用的文献
1
Neurologic Manifestations of Hospitalized Patients With Coronavirus Disease 2019 in Wuhan, China.中国武汉住院的 2019 年冠状病毒病患者的神经系统表现。
JAMA Neurol. 2020 Jun 1;77(6):683-690. doi: 10.1001/jamaneurol.2020.1127.
2
COVID-19-associated Acute Hemorrhagic Necrotizing Encephalopathy: Imaging Features.新型冠状病毒肺炎相关急性出血性坏死性脑病：影像学特征
Radiology. 2020 Aug;296(2):E119-E120. doi: 10.1148/radiol.2020201187. Epub 2020 Mar 31.
3
Potential Effects of Coronaviruses on the Cardiovascular System: A Review.冠状病毒对心血管系统的潜在影响：综述。
JAMA Cardiol. 2020 Jul 1;5(7):831-840. doi: 10.1001/jamacardio.2020.1286.
4
Evidence of the COVID-19 Virus Targeting the CNS: Tissue Distribution, Host-Virus Interaction, and Proposed Neurotropic Mechanisms.新型冠状病毒（COVID-19）感染中枢神经系统的证据：组织分布、宿主-病毒相互作用及潜在神经嗜性机制。
ACS Chem Neurosci. 2020 Apr 1;11(7):995-998. doi: 10.1021/acschemneuro.0c00122. Epub 2020 Mar 13.
5
Pathological findings of COVID-19 associated with acute respiratory distress syndrome.与急性呼吸窘迫综合征相关的新型冠状病毒肺炎的病理表现
Lancet Respir Med. 2020 Apr;8(4):420-422. doi: 10.1016/S2213-2600(20)30076-X. Epub 2020 Feb 18.
6
Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China.《武汉 2019 年新型冠状病毒感染的肺炎 138 例住院患者临床特征分析》
JAMA. 2020 Mar 17;323(11):1061-1069. doi: 10.1001/jama.2020.1585.
7
Multiple organ infection and the pathogenesis of SARS.多器官感染与严重急性呼吸综合征的发病机制
J Exp Med. 2005 Aug 1;202(3):415-24. doi: 10.1084/jem.20050828. Epub 2005 Jul 25.
Zotero 插件