Neuroradiologic manifestations of COVID-19: what the emergency radiologist needs to know

Abstract

Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), is a global pandemic with a wide spectrum of clinical signs and symptoms. Neurologic manifestations are relatively common, with severe cases often demonstrating striking findings on neuroimaging. Because the neuroradiologic findings may be the first evidence of COVID-19, the emergency radiologist has a critical role to play in not only the detection and management of the disease but also in the safety of other patients and hospital staff. Therefore, radiologists, especially those who specialize in emergency radiology, need to be aware of the neuroradiologic manifestations of COVID-19.

The Impact of the Pandemic on Acute Ischaemic Stroke Endovascular Treatment from a Multidisciplinary Perspective: A Nonsystematic Review

“…Given that neuroradiological findings may be among the first evidence of COVID-19 observed, the interventional radiologist has a critical role to play in detecting and referring for further treatment of strokes, ensuring the safety of downstream personnel and the hospital. Interventional radiologists need to be aware of the neuroradiologic manifestations of COVID-19 [ 55 ].…”

Discrepancies in the clinical and radiological profiles of COVID-19: A case-based discussion and review of literature

“…Although the neurological symptoms may be quite dramatic, the imaging may not show any positive findings[ 81 ]. If present, positive findings on cranial imaging include evidence of cerebrovascular diseases with haemorrhagic or non-haemorrhagic infarction, cerebral venous thrombosis, thrombotic microangiopathy, infectious and inflammatory diseases, acute disseminated encephalomyelitis and other demyelinating diseases including white matter demyelinating diseases[ 82 ]. Patients with severe COVID-19 infection and subsequent intensive care unit admission may develop neurological sequalae; this is thought to be due to brain ischaemia, however, one must rule out the possibility of chronic neuro-inflammation and demyelination during follow up appointments of recovered patients.…”

Response to letter to the editor, “Neuroradiologic Manifestations of COVID-19: What the Emergency Radiologist Needs to Know”

“…We thank ___ et al for their “Letter to the Editor” in response to our review article, “Neuroradiologic Manifestations of COVID-19: What the Emergency Radiologist Needs to Know” [ 1 ].…”