Neurological imaging findings in hospitalized COVID-19 patients: a retrospective observational study in two Brazilian reference centers

ABSTRACT Background: A variety of neurological manifestations have been attributed to COVID-19. Objective: To investigate the occurrence of neurological symptoms and neuroimaging findings in patients hospitalized in two Brazilian reference centers. Methods: We performed a retrospective cohort...

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Main Authors: Angelo Chelotti DUARTE, Ricardo Hiroshi Murashita FUJIKI, Larissa Freitas Peixoto GLÓRIA, Diego Cardoso FRAGOSO, Felipe Torres PACHECO, Camila CALVI, Marcos ROSA-JÚNIOR, Antonio Carlos Martins MAIA JUNIOR, Antônio José da ROCHA
Format: Article
Language:English
Published: Thieme Revinter Publicações 2022-02-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2022005003209&tlng=en
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author Angelo Chelotti DUARTE
Ricardo Hiroshi Murashita FUJIKI
Larissa Freitas Peixoto GLÓRIA
Diego Cardoso FRAGOSO
Felipe Torres PACHECO
Camila CALVI
Marcos ROSA-JÚNIOR
Antonio Carlos Martins MAIA JUNIOR
Antônio José da ROCHA
author_facet Angelo Chelotti DUARTE
Ricardo Hiroshi Murashita FUJIKI
Larissa Freitas Peixoto GLÓRIA
Diego Cardoso FRAGOSO
Felipe Torres PACHECO
Camila CALVI
Marcos ROSA-JÚNIOR
Antonio Carlos Martins MAIA JUNIOR
Antônio José da ROCHA
author_sort Angelo Chelotti DUARTE
collection DOAJ
description ABSTRACT Background: A variety of neurological manifestations have been attributed to COVID-19. Objective: To investigate the occurrence of neurological symptoms and neuroimaging findings in patients hospitalized in two Brazilian reference centers. Methods: We performed a retrospective cohort study of patients who had laboratory-confirmed COVID-19 presenting in two hospitals in Brazil between March 4 and July 7, 2020, who underwent brain imaging. Results: We recorded 1,359 patients with laboratory-confirmed COVID-19. Brain imaging was performed in 250 (18.4%) patients with neurological symptoms, and nine of them (3.6%) had acute or subacute ischemic stroke neuroimaging findings. Six of the nine patients initially presented with respiratory symptoms while the other three patients presented to the emergency room with acute stroke signs. Conclusions: We described the neuroimaging findings of patients infected with COVID-19 who presented with neurological symptoms in two major hospitals in Brazil. We reinforce the importance of being aware of cerebrovascular complications, both in severe hospitalized patients and in patients who present to the emergency room with acute neurological symptoms, even in the elderly.
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series Arquivos de Neuro-Psiquiatria
spelling doaj-art-266d39c7f6f0400b95511fb0af63f92c2025-08-20T03:17:55ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272022-02-0110.1590/0004-282x-anp-2021-0103Neurological imaging findings in hospitalized COVID-19 patients: a retrospective observational study in two Brazilian reference centersAngelo Chelotti DUARTEhttps://orcid.org/0000-0001-9701-3032Ricardo Hiroshi Murashita FUJIKIhttps://orcid.org/0000-0002-8993-8833Larissa Freitas Peixoto GLÓRIAhttps://orcid.org/0000-0002-9585-5794Diego Cardoso FRAGOSOhttps://orcid.org/0000-0002-8458-428XFelipe Torres PACHECOhttps://orcid.org/0000-0002-8017-4347Camila CALVIhttps://orcid.org/0000-0001-6829-5632Marcos ROSA-JÚNIORhttps://orcid.org/0000-0001-8668-2804Antonio Carlos Martins MAIA JUNIORhttps://orcid.org/0000-0001-7025-6528Antônio José da ROCHAhttps://orcid.org/0000-0003-2591-9171ABSTRACT Background: A variety of neurological manifestations have been attributed to COVID-19. Objective: To investigate the occurrence of neurological symptoms and neuroimaging findings in patients hospitalized in two Brazilian reference centers. Methods: We performed a retrospective cohort study of patients who had laboratory-confirmed COVID-19 presenting in two hospitals in Brazil between March 4 and July 7, 2020, who underwent brain imaging. Results: We recorded 1,359 patients with laboratory-confirmed COVID-19. Brain imaging was performed in 250 (18.4%) patients with neurological symptoms, and nine of them (3.6%) had acute or subacute ischemic stroke neuroimaging findings. Six of the nine patients initially presented with respiratory symptoms while the other three patients presented to the emergency room with acute stroke signs. Conclusions: We described the neuroimaging findings of patients infected with COVID-19 who presented with neurological symptoms in two major hospitals in Brazil. We reinforce the importance of being aware of cerebrovascular complications, both in severe hospitalized patients and in patients who present to the emergency room with acute neurological symptoms, even in the elderly.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2022005003209&tlng=enCOVID-19StrokeNeurology
spellingShingle Angelo Chelotti DUARTE
Ricardo Hiroshi Murashita FUJIKI
Larissa Freitas Peixoto GLÓRIA
Diego Cardoso FRAGOSO
Felipe Torres PACHECO
Camila CALVI
Marcos ROSA-JÚNIOR
Antonio Carlos Martins MAIA JUNIOR
Antônio José da ROCHA
Neurological imaging findings in hospitalized COVID-19 patients: a retrospective observational study in two Brazilian reference centers
Arquivos de Neuro-Psiquiatria
COVID-19
Stroke
Neurology
title Neurological imaging findings in hospitalized COVID-19 patients: a retrospective observational study in two Brazilian reference centers
title_full Neurological imaging findings in hospitalized COVID-19 patients: a retrospective observational study in two Brazilian reference centers
title_fullStr Neurological imaging findings in hospitalized COVID-19 patients: a retrospective observational study in two Brazilian reference centers
title_full_unstemmed Neurological imaging findings in hospitalized COVID-19 patients: a retrospective observational study in two Brazilian reference centers
title_short Neurological imaging findings in hospitalized COVID-19 patients: a retrospective observational study in two Brazilian reference centers
title_sort neurological imaging findings in hospitalized covid 19 patients a retrospective observational study in two brazilian reference centers
topic COVID-19
Stroke
Neurology
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2022005003209&tlng=en
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