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AJNR Am J Neuroradiol
. 2020 Jun 11.
doi: 10.3174/ajnr.A6630. Online ahead of print.
Neuroimaging Findings in Patients With COVID-19
P Nicholson 1 , L Alshafai 2 , T Krings 3
Affiliations
- PMID: 32527843
- DOI: 10.3174/ajnr.A6630
Abstract
Little is known about the neurologic sequelae of coronavirus disease 2019 (COVID-19). We assessed neuroimaging findings in 4 patients positive for COVID-19. All had abnormal mental status, deranged coagulation parameters, and markedly elevated D-dimer levels. CT/MR imaging showed a common pattern of multifocal subcortical/cortical petechial-type hemorrhages, while SWI showed more extensive multifocal abnormalities. The appearances are consistent with a thrombotic microangiopathy and may be due to the heightened level of thrombosis in patients with COVID-19.