Lacunar Infarct and Vascular Stenosis Finding on Patient Recovering from Coronavirus Disease 2019 (COVID-19): Role of Brain MRI and MRA

Authors : Risa Dameria Surbakti

Volume/Issue : Volume 5 - 2020, Issue 8 - August

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Coronavirus disease 2019 (COVID-19) which is also known as SARS-CoV-2 is an infectious disease caused by severe acute respiratory syndrome. Before spreading globally, first cases were seen in Wuhan, China, in December 2019. The most frequent findings are atypical or organizing pneumonia, often with a bilateral, peripheral, basal predominant distribution and airspace opacities, whether described as consolidation, GGO or crazy paving pattern. Recent research identified a higher than expected number of people recovering from the COVID-19 reported experiencing neurological symptoms in the brain such as nerve damage, stroke and brain inflammation; which are not always correlate with the severity of respiratory symptoms caused by COVID-19. One of the systems that involved in maintaining optimum conditions of the brain is the cerebral circulatory system. Blood must flow smoothly to regulates all activities in human body. Obstruction of blood flow can cause hypoxia (lack of oxygen) and can led damage to the surrounding tissue, causing paralysis and brain function disabilities. Objectives: of this study describe the management of Brain MRI as a follow up study for patient recovering from coronavirus disease (COVID-19). Method of this study is descriptive qualitative. The research was conducted in July 2020, at Department of Radiology, Ciputra Mitra Hospital in Banjarmasin. Criteria of the samples are people without a history of serious health issues in the past, who have been infected COVID-19 in the severe category (as evidenced by PCR, Chest X-Ray and Chest CT); but has been declared cured of COVID-19 (as evidenced by negative PCR results 2 times in 24 hours). Results in this study: obtained imaging studies conducted on 1.5 Tesla GE MRI. Sequences performed were T1 weighted spin echo, diffusion weighted imaging (DWI), gradient echo T2 or susceptibility weighted imaging, FLAIR and, MRA. Conclusion: of this study showed ischemic stroke, multiple infarcts and several brain vascular stenosis.

Keywords : Brain MRI, COVID-19, FLAIR, lesion, vascular stenosis, ischemic stroke


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