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.