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下丘脑中的代谢亢进:COVID-19 患者脑 FDG PET 和灌注 MRI 的新发现。

Inferior Colliculus's Hypermetabolism: A New Finding on Brain FDG PET and Perfusion MRI in a Patient With COVID-19.

机构信息

From the Service de Radiologie, Hôpital de Hautepierre, Hôpitaux Universitaires de Strasbourg.

出版信息

Clin Nucl Med. 2021 May 1;46(5):413-414. doi: 10.1097/RLU.0000000000003592.

DOI:10.1097/RLU.0000000000003592
PMID:33675593
Abstract

We present the case of a 64-year-old man presenting an episode of confusion during SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) infection with a positive oropharyngeal swab polymerase chain reaction test. He was hospitalized for dyspnea related to pneumonia demonstrated on chest CT. FDG PET performed after the confusion phase, but still in the COVID-19 (coronavirus disease 2019)-positive phase, showed high glucose metabolism of the inferior colliculi. Morphological MRI was normal. The first-pass perfusion MRI shows hyperperfusion of the inferior colliculi, corresponding to FDG PET hypermetabolism.

摘要

我们报告了一例 64 岁男性患者,在 SARS-CoV-2(严重急性呼吸综合征冠状病毒 2)感染期间出现意识混乱,咽拭子聚合酶链反应检测呈阳性。他因胸部 CT 显示肺炎相关呼吸困难而住院。在意识混乱期后,即在 COVID-19(2019 年冠状病毒病)阳性期进行了 FDG PET 检查,显示下丘脑中葡萄糖代谢增高。形态 MRI 正常。首过灌注 MRI 显示下丘脑中血流灌注增加,与 FDG PET 代谢增高相对应。

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