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. 2020 Sep 1;57(12):5263–5275. doi: 10.1007/s12035-020-02094-y

Table 2.

Positive para-clinic findings in favor of CNS involvement in COVID-19

Para-clinic modality Stroke Multiple sclerosis Guillain-Barre syndrome Seizure and encephalopathy Brainstem involvement Reference
CT MCA thrombosis and regional infarct [68]
MRI Cranial and cervical root enhancement

CT

CT angiography

CT perfusion

MRI

MRA/MRV

Large vessel or lacunar infarcts, hypoxic ischemia, and hemorrhagic stroke [65]
CT Hypoattenuation and impaired gray-white matter differentiation at MCA and ACA territories with consequent brain edema and mass effect [66]
CT angiography ICA stenosis
MRI

Optic nerve enhancement

Supratentorial periventricular demyelinating lesions in occipital and temporal lobes

[41]
MRI Optic nerve enhancement [69]
MRI Facial and caudal nerve root enhancement [70]
Nerve conduction Axonal and demyelinating patterns
MRI Enlargement, enhancement, and T2 hyperintense signal in cranial nerve III [71]
MRI Multifocal involvement of cortex and white matter, hyperintense areas in T2-weighted, and FLAIR images in temporal, frontal, and occipital lobes and hippocampus [72]
MRI Confluent periventricular lesions of white matter [73]
MRI Cortical, subcortical, and deep white matter abnormalities in FLAIR images along with abnormalities in frontal, parietal, occipital, and temporal lobes, insular cortex, and cingulate gyrus [5]
MRI T2-FLAIR signal abnormalities in bilateral pons [74]