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Brain autopsies of critically ill COVID-19 patients demonstrate heterogeneous profile of acute vascular injury, inflammation and age-linked chronic brain diseases.

Sonal AgrawalJose M FarfelKonstantinos ArfanakisLena Al-HarthiTanner ShullTara L TeppenArnold M EviaMayur B PatelE Wesley ElySue E LeurgansDavid A BennettRupal MehtaJulie A Schneider
Published in: Acta neuropathologica communications (2022)
Acute tissue injuries and microglial activation were the most common abnormalities in COVID-19 brains. Focal evidence of encephalitis-like changes was noted despite the lack of detectable virus. The majority of older subjects showed age-related brain pathologies even in the absence of known neurologic disease. Findings of this study suggest that acute brain injury superimposed on common pre-existing brain disease may put older subjects at higher risk of post-COVID neurologic sequelae.
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