Pearls &amp; Oy-sters: Bilateral globus pallidus lesions in a patient with COVID-19

Kulick-Soper, Catherine V.; McKee, Jillian L.; Mohan, Suyash; Stein, Joel M.; Masur, Jonathan; Lazor, Jillian W.; Dunlap, D.G.; McGinniss, John E.; David, Michael Z.; England, Ross N.; Rothstein, Aaron; Gelfand, Michael; Cucchiara, Brett; Davis, Kathryn A.

doi:10.1212/wnl.0000000000010157

Cited by 20 publications

(19 citation statements)

References 6 publications

(6 reference statements)

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“… Brun G et al [ 187 ] reported a 54 Y/O F with Multiple supra-tentorial punctiform and tumefactive lesions involving the white matter bilaterally. Demirci Otluoglu G et al [ 196 ] reported a 48 Y/O M with Acute encephalomyelitis and positive CSF for SARS-CoV2 Impaired consciousness, encephalopathy and encephalitis 11 Decreased level of consciousness And Encephalopathy 22 Articles [ 39 ], [ 40 ], [ 57 ], [ 58 ] [ 60 ], [ 62 ] [ 88 ], [ 96 ], [ 98 ], [ 100 ], [ 101 ], [ 133 ], [ 135 ], [ 136 ] [ 137 ], [ 138 ], [ 139 ] [ 140 ], [ 141 ] [ 178 ] [ 184 ] [ 189 ] [ 195 ] [ 197 ] 4,54 NR in all articles. Yin R et al [ 133 ] reported a 64 Y/O M with altered consciousness and Psychiatric symptoms, his brain CT scan was Normal.…”

Section: Resultsmentioning

confidence: 99%

“… Hosseini AA et al [ 139 ], reported 2 patients (46 Y/O, 79 Y/O) F with Delirium as a presenting feature in COVID-19, neuro-invasion or autoimmune encephalopathy was suggested as the cause. Kulick-Soper CV, et al [ 189 ] reported a 54 Y/O F with bilateral globus pallidus lesions and possibility of hypoxic brain damage. 12 Leukoencephalopathy 3Articles [ 144 ], [ 145 ] [ 188 ] 18 NR in all articles.…”

Section: Resultsmentioning

confidence: 99%

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Neurological complications of coronavirus infection; a comparative review and lessons learned during the COVID-19 pandemic

Dorche

Huot

Osherov

et al. 2020

Journal of the Neurological Sciences

183

182

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Coronavirus disease-19 (COVID-19) pandemic continues to grow all over the world. Several studies have been performed, focusing on understanding the acute respiratory syndrome and treatment strategies. However, there is growing evidence indicating neurological manifestations occur in patients with COVID-19. Similarly, the other coronaviruses (CoV) epidemics; severe acute respiratory syndrome (SARS-CoV-1) and Middle East respiratory syndrome (MERS-CoV) have been associated with neurological complications. Methods: This systematic review serves to summarize available information regarding the potential effects of different types of CoV on the nervous system and describes the range of clinical neurological complications that have been reported thus far in COVID-19. Results: Two hundred and twenty-five studies on CoV infections associated neurological manifestations in human were reviewed. Of those, 208 articles were pertinent to COVID-19. The most common neurological complaints in COVID-19 were anosmia, ageusia, and headache, but more serious complications, such as stroke, impairment of consciousness, seizures, and encephalopathy, have also been reported. Conclusion: There are several similarities between neurological complications after SARS-CoV-1, MERS-CoV and COVID-19, however, the scope of the epidemics and number of patients are very different. Reports on the neurological complications after and during COVID-19 are growing on a daily basis. Accordingly, comprehensive knowledge of these complications will help health care providers to be attentive to these complications and diagnose and treat them timely.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Neurological complications of coronavirus infection; a comparative review and lessons learned during the COVID-19 pandemic

Dorche

Huot

Osherov

et al. 2020

Journal of the Neurological Sciences

183

182

View full text Add to dashboard Cite

show abstract

“…Because the SARS-COV-2 pandemic has been a rapidly emergent phenomenon, there is a relatively low number of large-scale retrospective and observational studies reporting neuroradiological findings currently represented in the literature. Consequently, we decided to include 51 case reports and case series in this review for a total of 61 studies ( 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 ) comprising 711 patients. All of these studies used a combination of CT and MRI, with the...…”

Section: Resultsmentioning

confidence: 99%

Neuroradiological Features of Mild and Severe SARS-CoV-2 Infection

et al. 2020

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Rationale and Objectives: An increasing number of neurological complications and corresponding radiological findings have been reported in patients with COVID-19 infection. The purpose of this study is to systematically review the current literature on COVID-19associated neuroradiological findings and examine the prevalence of different findings in patients with both severe and mild COVID-19 infection. Materials and Methods: A comprehensive literature search of the PubMed and Embase databases was performed. Any studies reporting CT or MRI neuroimaging findings in patients with confirmed COVID-19 infection were included. Patient demographics, main radiological findings, neurological symptoms, and severity of COVID-19 infection were tabulated and quantified according to infection severity. Results: Sixty-one studies published between 2019 and 2020 comprising 711 patients were analyzed according to severity of respiratory symptoms. The main neuroradiological findings for patients with mild classification were cranial nerve abnormalities, ischemic infarction, and white matter abnormalities, while the main findings in patients with severe classification were white matter abnormalities, ischemic infarction, and hemorrhagic events. Conclusion: Neuroradiological manifestations in COVID-19 infection are highly heterogeneous and differ based on the severity of COVID-19 infection. Cranial nerve abnormalities appear exclusive to mild infection, with a high degree of olfactory tract involvement, while hemorrhagic events are more common in severe infection. Notably, ischemic infarction was equally prevalent in both mild and severe COVID-19 infection. Healthcare providers treating COVID-19 patients should be aware of these potential complications and consider neurological assessment and neuroimaging studies when indicated.

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“…Global hypoxic injury typically manifests on MRI as restricted diffusion of the basal ganglia, thalami, hippocampi, and cortex [61]. Globus pallidus necrosis has been reported in COVID-19, presumably related to hypoxia [62] (Figure 7). Although isolated involvement of the globus pallidus is unusual, it has been described previously in global hypoxic injury [63].…”

Section: Global Hypoxic Injurymentioning

confidence: 99%

The Spectrum of Neuroimaging Findings on CT and MRI in Adults With COVID-19

Moonis

Filippi

Kirsch

et al. 2021

American Journal of Roentgenology

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The publication of this Accepted Manuscript is provided to give early visibility to the contents of the article, which will undergo additional copyediting, typesetting, and review before it is published in its final form. During the production process, errors may be discovered that could affect the content of the Accepted Manuscript. All legal disclaimers that apply to the journal pertain. The reader is cautioned to consult the definitive version of record before relying on the contents of this document.

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Pearls & Oy-sters: Bilateral globus pallidus lesions in a patient with COVID-19

Cited by 20 publications

References 6 publications

Neurological complications of coronavirus infection; a comparative review and lessons learned during the COVID-19 pandemic

Neurological complications of coronavirus infection; a comparative review and lessons learned during the COVID-19 pandemic

Neuroradiological Features of Mild and Severe SARS-CoV-2 Infection

The Spectrum of Neuroimaging Findings on CT and MRI in Adults With COVID-19

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