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长新冠病毒病与大脑:神经影像学揭示神经和精神后遗症。

Long Coronavirus Disease and the Brain: Molecular Neuroimaging Insights into Neurologic and Psychiatric Sequelae.

机构信息

Biophysics and Nuclear Medicine, Aix Marseille University, Marseille, France; APHM, CNRS, Centrale Marseille, Institut Fresnel, Timone Hospital, Marseille, France; Nuclear Medicine Department, CERIMED, Marseille, France.

Neuro-X Institute, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland.

出版信息

PET Clin. 2025 Jan;20(1):39-55. doi: 10.1016/j.cpet.2024.09.013. Epub 2024 Oct 30.

Abstract

The coronavirus disease 2019 (COVID-19) pandemic has led to a variety of health challenges, with "long COVID" emerging as a widespread and debilitating post-acute syndrome among a considerable number of infected patients. This PET review synthesizes current evidence of the neurologic and psychiatric sequelae of COVID. This review also explores the pathophysiological mechanisms of these results, including astrocyte dysfunction and glutamate dysregulation, as well as the multimodal comparison to MR imaging findings. The findings underscore the potential for long-term brain injury. Additionally, the authors discuss the role of advanced imaging multimodal techniques in diagnosing, monitoring, and guiding treatment strategies for long COVID.

摘要

2019 年冠状病毒病(COVID-19)大流行带来了各种健康挑战,大量感染患者出现了一种广泛且使人虚弱的急性后期综合征,即“长新冠”。这篇 PET 综述综合了目前关于 COVID 神经系统和精神后遗症的证据。本综述还探讨了这些结果的病理生理机制,包括星形胶质细胞功能障碍和谷氨酸调节异常,以及与磁共振成像结果的多模态比较。研究结果强调了长期脑损伤的可能性。此外,作者还讨论了先进的影像学多模态技术在诊断、监测和指导长新冠治疗策略方面的作用。

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