Department of Radiology, Division of Neuroradiology, Perelman School of Medicine at the University of Pennsylvania, 3400 Spruce St, Philadelphia, PA 19104.
Department of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
AJR Am J Roentgenol. 2021 Apr;216(4):1046-1047. doi: 10.2214/AJR.20.24364. Epub 2021 Feb 17.
Among 2820 inpatients with coronavirus disease (COVID-19), 59 (2.1%) underwent brain MRI. Of them, six (10.2%) had MRI findings suspicious for COVID-19-related disseminated leukoencephalopathy (CRDL), which is characterized by extensive confluent or multifocal white matter lesions (with characteristics and locations atypical for other causes), microhemorrhages, diffusion restriction, and enhancement. CRDL is an uncommon but important differential consideration in patients with neurologic manifestations of COVID-19.
在 2820 名患有冠状病毒病（COVID-19）的住院患者中，有 59 人（2.1%）接受了脑部 MRI 检查。其中，有 6 人（10.2%）的 MRI 检查结果提示 COVID-19 相关性播散性脑白质病（CRDL），其特征为广泛融合或多灶性白质病变（具有非典型的特征和位置，与其他病因不同）、微出血、弥散受限和增强。CRDL 是 COVID-19 患者出现神经表现时一个不常见但重要的鉴别诊断。
