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COVID-19—White matter and globus pallidum lesions

Gilles Brun, Jean‐François Hak, S. Coze, Elsa Kaphan, Julien Carvelli, Nadine Girard, Jan‐Patrick Stellmann

2020Neurology Neuroimmunology & Neuroinflammation68 citationsDOIOpen Access PDF

Abstract

Since December 2019, a novel coronavirus, also called severe acute respiratory syndrome CoV-2 (SARS-CoV-2), emerged in Wuhan, China, and caused a pandemic disease (COVID-19). Respiratory impairment is the most common symptom in patients with confirmed COVID-19; however, neurologic symptoms were documented in approximately 36%, including headache, disturbed consciousness, and paresthesia.1 The virus can take different pathways to involve the CNS: in one way through hematogenous or lymphatic route and in another way via the cribriform plate close to the olfactory bulb. Very few studies have shown CNS abnormalities related to COVID-19 on MRI. Herein, we report a case of SARS-CoV-2 brain lesions suggesting an acute demyelination.

Topics & Concepts

Coronavirus disease 2019 (COVID-19)White matterSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Olfactory bulbPathologyMedicineCoronavirus2019-20 coronavirus outbreakPandemicCribriform plateBetacoronavirusRespiratory systemAnosmiaEncephalitisDiseaseVirusVirologyCentral nervous systemMagnetic resonance imagingInternal medicineRadiologyOutbreakAnatomyInfectious disease (medical specialty)Long-Term Effects of COVID-19Infectious Encephalopathies and EncephalitisCerebrospinal fluid and hydrocephalus