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Anosmia in COVID-19 Associated with Injury to the Olfactory Bulbs Evident on MRI

M.F.V.V. Aragão, Mariana de Carvalho Leal Gouveia, O.Q. Cartaxo Filho, Tatiana Fonseca, Marcelo Moraes Valênça

2020American Journal of Neuroradiology177 citationsDOIOpen Access PDF

Abstract

<h3>SUMMARY:</h3> Patients with coronavirus disease 2019 (COVID-19) may have symptoms of anosmia or partial loss of the sense of smell, often accompanied by changes in taste. We report 5 cases (3 with anosmia) of adult patients with COVID-19 in whom injury to the olfactory bulbs was interpreted as microbleeding or abnormal enhancement on MR imaging. The patients had persistent headache (<i>n</i> = 4) or motor deficits (<i>n</i> = 1). This olfactory bulb injury may be the mechanism by which the Severe Acute Respiratory Syndrome coronavirus 2 causes olfactory dysfunction.

Topics & Concepts

AnosmiaMedicineCoronavirus disease 2019 (COVID-19)2019-20 coronavirus outbreakSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)OlfactionOlfactory systemPathologyNeurosciencePsychiatryDiseaseBiologyInfectious disease (medical specialty)OutbreakOlfactory and Sensory Function StudiesLong-Term Effects of COVID-19Retinal and Optic Conditions
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