COVID-19 leukoencephalopathy with subacute magnetic resonance imaging findings of vasculitis and demyelination
JOURNAL OF NEUROVIROLOGY(2021)
摘要
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) commonly results in a respiratory illness in symptomatic patients; however, those critically ill can develop a leukoencephalopathy. We describe two patients who had novel subacute MRI findings in the context of coronavirus disease 2019 (COVID-19) leukoencephalopathy, which we hypothesize could implicate a potent small-vessel vasculitis, ischemic demyelination and the presence of prolonged ischemia. Recent evidence of the direct neuroinvasiness of SARS-CoV-2 leading to ischemia and vascular damage supports this hypothesis.
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关键词
COVID-19, Coronavirus, SARS-CoV-2, Leukoencephalopathy, Demyelination, Vasculitis, MRI
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