新冠病毒感染相关的脑血管炎，前循环广泛受累而后循环未受累

Kent Thomas E, Patel Sohil H, Batchala Prem P, Donahue Joseph H, Eluvathingal Muttikkal Thomas J

School of Medicine, University of Florida, Gainesville, USA.

Department of Radiology and Medical Imaging, University of Virginia Health System, Charlottesville, USA.

Cureus. 2025 Jun 26;17(6):e86818. doi: 10.7759/cureus.86818. eCollection 2025 Jun.

COVID-19 infection is associated with stroke due to various proposed mechanisms, including cerebral vasculitis, arterial and venous thrombosis. Vessel wall imaging, although not pathognomonic, interpreted in the appropriate clinical context and supportive laboratory findings, can help clarify the diagnosis and differentiate the etiology from other mechanisms of CNS involvement. We describe a patient with extensive anterior circulation vasculitis and ischemic stroke in the setting of COVID-19, with sparing of the posterior circulation.

由于各种提出的机制，包括脑血管炎、动脉和静脉血栓形成，新型冠状病毒肺炎（COVID-19）感染与中风有关。血管壁成像虽然不具有诊断特异性，但在适当的临床背景和支持性实验室检查结果下进行解读，有助于明确诊断并将病因与中枢神经系统受累的其他机制区分开来。我们描述了一名在新型冠状病毒肺炎背景下发生广泛前循环血管炎和缺血性中风的患者，后循环未受累。