Critical illness-associated cerebral microbleeds in COVID-19.
Surjith VattothMohamed AbdelhadyHussam AlsoubAhmed OwnAhmed ElsotouhyPublished in: The neuroradiology journal (2020)
We are reporting the imaging findings of the rare entity of critical illness-associated cerebral microbleeds in a COVID-19-positive 66-year-old woman with hypoxic respiratory failure, who was eventually intubated and ventilated. Multiple scattered cerebral microhaemorrhages diffusely distributed in the juxtacortical white matter and internal capsule region, sparing the deep and periventricular white matter, basal ganglia, thalami and cortex were seen, which is a unique imaging finding in critically ill patients with respiratory failure and hypoxemia requiring mechanical ventilation. The mechanism underlying these microhaemorrhages relates to the endpoint of critical illness, rather than a specific underlying disease.
Keyphrases
- respiratory failure
- mechanical ventilation
- white matter
- acute respiratory distress syndrome
- intensive care unit
- coronavirus disease
- extracorporeal membrane oxygenation
- subarachnoid hemorrhage
- sars cov
- high resolution
- multiple sclerosis
- cerebral ischemia
- brain injury
- functional connectivity
- respiratory syndrome coronavirus
- cerebral blood flow
- mass spectrometry
- adverse drug
- electronic health record