Spectrum of neuroimaging findings in COVID-19.

Ahmed H El Beltagi,Hussam Alsoub,Islam Ahmed,Mohamed Abdelhady,Surjith Vattoth,Yahya Paksoy,Abdul Latif Alkhal,Ahmed Elsotouhy,Ahmed Own,Mohamed Abou Kamar,Muna Almaslamani

doi:10.1259/bjr.20200812

Abstract

An outbreak of corona virus disease 2019 (COVID-19) began in China in December 2019, and rapidly spread to become a worldwide pandemic. Neurological complications encountered in hospitalized patients include acute arterial ischemic cerebrovascular stroke, cerebral venous thrombosis, critical illness-associated cerebral microbleeds, hypertensive hemorrhagic posterior reversible encephalopathy, meningoencephalitis/flare up of infections, flare up of multiple sclerosis, acute disseminated encephalomyelitis, cerebral hemodynamic/hypoxic changes such as watershed ischemic changes and hypoxic ischemic encephalopathy, and spine manifestations of Guillain Barre syndrome and viral myelitis. The purpose of our study is to illustrate the different neuroimaging features in critically ill hospitalized COVID-19 positive patients in the State of Qatar.

Highlights

An outbreak of coronavirus disease 2019 (COVID-19) began in Wuhan, China, in December 2019, and has rapidly spread around the world, and the COVID-19 severe acute respiratory syndrome corona virus-2 (SARS-C oV-2) was declared by the World Health Organization (WHO) as a pandemic on March 11, 2020
The neurological complications encountered in hospitalized patients include acute arterial ischemic cerebrovascular stroke, cerebral venous thrombosis (CVT), critical illness-associated cerebral microbleeds, hypertensive hemorrhagic posterior reversible encephalopathy (PRES), meningoencephalitis/flare up of infections, flare up of multiple sclerosis, hemodynamic changes such as watershed hypoxic ischemic changes and hypoxic ischemic encephalopathy, and spine manifestations of Guillain Barre syndrome and viral myelitis
Guillain-Barré syndrome (GBS) GBS, an acute sensory and motor polyradiculoneuritis has been reported with COVID19.35 Alberti et al[36,37] recently reported a 71-year-old male COVID-19 patient with moderate respiratory symptoms and paresthesia in both hands and feet, and distal weakness which rapidly evolved to a severe flaccid tetraparesis over 3 days

Summary

PICTORIAL REVIEW

1,2AHMED H EL BELTAGI, MD, FRCR, FFRRCSI, EDiNR, EDiPNR, EBiHNR, 3SURJITH VATTOTH, MD, FRCR, DABR, 1MOHAMED ABDELHADY, MBBCh, EDiRA, 1ISLAM AHMED, MD, 1YAHYA PAKSOY, MD, 4MOHAMED ABOU KAMAR, MD, 4HUSSAM ALSOUB, MD, 4MUNA ALMASLAMANI, MD, 4ABDUL LATIF ALKHAL, MD, 1AHMED OWN, MD and 1,2AHMED ELSOTOUHY, MBBCh, MSc, PhD/MD 1Neuroradiology Department, Neuroscience Institute, Hamad Medical Corporation, Doha, Qatar 2Clinical Imaging, Weill Cornell Medicine University - Qatar, Doha, Qatar 3University of Arkansas for Medical Sciences, Little Rock, AR, USA 4Infectious and Communicable Diseases Department, Hamad Medical Corporation, Doha, Qatar

INTRODUCTION

Findings

DISCUSSION