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. 2021 Mar 18;17(2):155–163. doi: 10.3988/jcn.2021.17.2.155

Table 3. Neuropathology findings of COVID-19 patients.

No Author Country Number of brain autopsy Findings
1 Bryce et al.29 USA 20 Microthrombi with small and patchy infarction, and parenchymal microhemorrhages in 6 patients, large infarct in MCA territory in 1 patient minimal inflammation and slight neuronal loss in 14 patients
2 Hanley et al.39 UK Hypoxic-ischaemic changes, moderate to intense microglial activation in 5 patients, and large infarct in MCA territory
3 Jaunmuktane et al.40 UK 2 Multifocal brain infarct and microbleeds in cortex and white matter
4 Kantonen et al.41 Finland 1 Perivascular hemorrhages, parenchymal microhemorrhages, hypoxic-ischaemic changes
5 Matschke et al.42 Germany 43 Acute infarct in territory PCA/MCA/ACA in 6 patients, inflammation in brainstem and cerebellum (activation of microglia and infiltration of cytotoxic T lymphocytes)
6 Paniz-Mondolfi et al.30 USA 1 Identification of viral particles in small vesicles in endothelial cells of intracranial arteries and brain cells using electron microscopy
7 Remmelink et al.43 Belgium 17 Cerebral hemorrhage in 8 patients, hypoxic-ischaemic changes in 3 patients, vascular congestion in 5 patients
8 Schurink et al.44 Netherland 9 Hypoxic ischaemic changes in cerebrum and cerebellum, inflammation of white and grey matter, most severe in medulla oblongata and olfactory bulb
9 Solomon et al.45 USA 18 Hypoxic ischaemic changes in all patients, atherosclerosis in 14 patients

ACA: anterior cerebral artery, COVID-19: coronavirus disease 2019, MCA: middle cerebral artery, PCA: posterior cerebral artery.