Your browser doesn't support javascript.
Brain Imaging of Patients with COVID-19: Findings at an Academic Institution during the Height of the Outbreak in New York City.
Lin, E; Lantos, J E; Strauss, S B; Phillips, C D; Campion, T R; Navi, B B; Parikh, N S; Merkler, A E; Mir, S; Zhang, C; Kamel, H; Cusick, M; Goyal, P; Gupta, A.
  • Lin E; From the Department of Radiology (E.L., J.E.L., S.B.S., C.D.P., A.G.) eal9007@med.cornell.edu.
  • Lantos JE; From the Department of Radiology (E.L., J.E.L., S.B.S., C.D.P., A.G.).
  • Strauss SB; From the Department of Radiology (E.L., J.E.L., S.B.S., C.D.P., A.G.).
  • Phillips CD; From the Department of Radiology (E.L., J.E.L., S.B.S., C.D.P., A.G.).
  • Campion TR; Department of Population Health Sciences (T.R.C., M.C.).
  • Navi BB; Clinical and Translational Neuroscience Unit (B.B.N., N.S.P., A.E.M., S.M., C.Z., A.G.).
  • Parikh NS; Clinical and Translational Neuroscience Unit (B.B.N., N.S.P., A.E.M., S.M., C.Z., A.G.).
  • Merkler AE; Clinical and Translational Neuroscience Unit (B.B.N., N.S.P., A.E.M., S.M., C.Z., A.G.).
  • Mir S; Clinical and Translational Neuroscience Unit (B.B.N., N.S.P., A.E.M., S.M., C.Z., A.G.).
  • Zhang C; Clinical and Translational Neuroscience Unit (B.B.N., N.S.P., A.E.M., S.M., C.Z., A.G.).
  • Cusick M; Department of Population Health Sciences (T.R.C., M.C.).
  • Goyal P; Feil Family Brain and Mind Research Institute and Department of Neurology, and Department of Medicine (P.G.), Weill Cornell Medicine, New York, New York.
  • Gupta A; From the Department of Radiology (E.L., J.E.L., S.B.S., C.D.P., A.G.).
AJNR Am J Neuroradiol ; 41(11): 2001-2008, 2020 11.
Article in English | MEDLINE | ID: covidwho-724936
ABSTRACT
BACKGROUND AND

PURPOSE:

A large spectrum of neurologic disease has been reported in patients with coronavirus disease 2019 (COVID-19) infection. Our aim was to investigate the yield of neuroimaging in patients with COVID-19 undergoing CT or MR imaging of the brain and to describe associated imaging findings. MATERIALS AND

METHODS:

We performed a retrospective cohort study involving 2054 patients with laboratory-confirmed COVID-19 presenting to 2 hospitals in New York City between March 4 and May 9, 2020, of whom 278 (14%) underwent either CT or MR imaging of the brain. All images initially received a formal interpretation from a neuroradiologist within the institution and were subsequently reviewed by 2 neuroradiologists in consensus, with disputes resolved by a third neuroradiologist.

RESULTS:

The median age of these patients was 64 years (interquartile range, 50-75 years), and 43% were women. Among imaged patients, 58 (21%) demonstrated acute or subacute neuroimaging findings, the most common including cerebral infarctions (11%), parenchymal hematomas (3.6%), and posterior reversible encephalopathy syndrome (1.1%). Among the 51 patients with MR imaging examinations, 26 (51%) demonstrated acute or subacute findings; notable findings included 6 cases of cranial nerve abnormalities (including 4 patients with olfactory bulb abnormalities) and 3 patients with a microhemorrhage pattern compatible with critical illness-associated microbleeds.

CONCLUSIONS:

Our experience confirms the wide range of neurologic imaging findings in patients with COVID-19 and suggests the need for further studies to optimize management for these patients.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Brain Diseases / Coronavirus Infections Type of study: Cohort study / Observational study / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: AJNR Am J Neuroradiol Year: 2020 Document Type: Article

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Brain Diseases / Coronavirus Infections Type of study: Cohort study / Observational study / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: AJNR Am J Neuroradiol Year: 2020 Document Type: Article