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两例新冠肺炎患者出现单纯胼胝体梗死的影像学表现。

Imaging findings of two patients with isolated infarction of the splenium during COVID-19.

作者信息

Kızılgöz Volkan, Kantarci Mecit, Kahraman Şevket

机构信息

Department of Radiology, Faculty of Medicine, Erzincan Binali Yıldırım University, Erzincan, Turkey.

Department of Radiology, Faculty of Medicine, Atatürk University, Erzurum, Turkey.

出版信息

SAGE Open Med Case Rep. 2022 Oct 31;10:2050313X221135232. doi: 10.1177/2050313X221135232. eCollection 2022.

DOI:10.1177/2050313X221135232
PMID:36337160
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9629540/
Abstract

Coronavirus disease 2019 (COVID-19) is caused by the virus named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In the literature, this virus has been associated with coagulation dysfunction and arterial thromboembolism. In clinical practice, corpus callosum infarcts are very rare, and the incidence of isolated splenium infarct is very low. Here, two cases of isolated splenium infarct after COVID-19 are reported with clinical and imaging findings. These findings are thought to be useful in daily practice for our colleagues. In addition, differential diagnoses of this entity will also be discussed in this case report.

摘要

2019冠状病毒病(COVID-19)由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起。在文献中,这种病毒与凝血功能障碍和动脉血栓栓塞有关。在临床实践中,胼胝体梗死非常罕见,孤立性压部梗死的发生率很低。在此,报告两例COVID-19后出现的孤立性压部梗死病例,并展示其临床和影像学表现。这些发现被认为对我们的同行在日常实践中很有用。此外,本病例报告还将讨论该病症的鉴别诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a3/9629540/6a84e02b1e1a/10.1177_2050313X221135232-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a3/9629540/058031d3460c/10.1177_2050313X221135232-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a3/9629540/8f5d90286eed/10.1177_2050313X221135232-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a3/9629540/6a84e02b1e1a/10.1177_2050313X221135232-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a3/9629540/058031d3460c/10.1177_2050313X221135232-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a3/9629540/8f5d90286eed/10.1177_2050313X221135232-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a3/9629540/6a84e02b1e1a/10.1177_2050313X221135232-fig3.jpg

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本文引用的文献

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Reversible Cytotoxic Lesion of the Corpus Callosum and COVID-19.胼胝体可逆性细胞毒性病变与新型冠状病毒肺炎
Neurohospitalist. 2022 Jul;12(3):585-586. doi: 10.1177/19418744211039374. Epub 2022 May 17.
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Homonymous Hemianopsia Due to the Infarction in the Splenium of the Corpus Callosum.胼胝体压部梗死所致的同向性偏盲
Cureus. 2021 Nov 14;13(11):e19574. doi: 10.7759/cureus.19574. eCollection 2021 Nov.
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Multisystem thromboembolism in a COVID-19 patient: a case report.一名新冠肺炎患者的多系统血栓栓塞:病例报告
J Community Hosp Intern Med Perspect. 2021 Jun 21;11(4):489-495. doi: 10.1080/20009666.2021.1933715.
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The risk of thrombosis after acute-COVID-19 infection.急性 COVID-19 感染后的血栓形成风险。
QJM. 2021 Nov 13;114(9):619-620. doi: 10.1093/qjmed/hcab054.
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Delayed pulmonary embolism after COVID-19 pneumonia: a case report.新型冠状病毒肺炎后延迟性肺栓塞:一例病例报告
Eur Heart J Case Rep. 2020 Nov 24;4(6):1-4. doi: 10.1093/ehjcr/ytaa449. eCollection 2020 Dec.
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Effect of COVID-19 on the Organs.新型冠状病毒肺炎对各器官的影响。
Cureus. 2020 Aug 3;12(8):e9540. doi: 10.7759/cureus.9540.
7
Cytotoxic lesions of the corpus callosum (CLOCCs) associated with SARS-CoV-2 infection.与新型冠状病毒肺炎(SARS-CoV-2)感染相关的胼胝体细胞毒性病变(CLOCCs)
J Neurol. 2021 May;268(5):1592-1594. doi: 10.1007/s00415-020-10164-3. Epub 2020 Aug 18.
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