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Case Reports
. 2020 Nov;297(2):E274-E275.
doi: 10.1148/radiol.2020202197. Epub 2020 Jun 2.

Focal Cerebral Arteriopathy in a Pediatric Patient with COVID-19

Seyed Mohammad Mousavi Mirzaee #  1 , Fabrício Guimarães Gonçalves #  1 , Mahyar Mohammadifard  1 , Shirin Mojgan Tavakoli  1 , Arastoo Vossough  1
Affiliations
Case Reports

Focal Cerebral Arteriopathy in a Pediatric Patient with COVID-19

Seyed Mohammad Mousavi Mirzaee et al. Radiology. 2020 Nov.

Abstract

We present a case of focal cerebral arteriopathy and ischemic stroke in a pediatric patient with coronavirus disease 2019 who presented with seizure, right hemiparesis, and dysarthria with positive findings for severe acute respiratory syndrome coronavirus 2 from nasopharyngeal swab and cerebral spinal fluid.

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Figures

(a–c) Axial T2-weighted (a) and fluid-attenuated inversion recovery (b) MRI scans show diffuse hyperintense signal and edema of caudate nucleus head, putamen, anterior limb of internal capsule, and parts of external capsule and insula on left side, with corresponding low values on axial apparent diffusion coefficient map (c), in keeping with an acute infarction. (d) Maximal intensity projection reformatted image from time-of-flight MR angiography shows focal irregular narrowing and banding of proximal left M1 segment of middle cerebral artery with slightly reduced distal flow in middle cerebral artery (arrows).
(a–c) Axial T2-weighted (a) and fluid-attenuated inversion recovery (b) MRI scans show diffuse hyperintense signal and edema of caudate nucleus head, putamen, anterior limb of internal capsule, and parts of external capsule and insula on left side, with corresponding low values on axial apparent diffusion coefficient map (c), in keeping with an acute infarction. (d) Maximal intensity projection reformatted image from time-of-flight MR angiography shows focal irregular narrowing and banding of proximal left M1 segment of middle cerebral artery with slightly reduced distal flow in middle cerebral artery (arrows).
(a–c) Axial T2-weighted (a) and fluid-attenuated inversion recovery (b) MRI scans show diffuse hyperintense signal and edema of caudate nucleus head, putamen, anterior limb of internal capsule, and parts of external capsule and insula on left side, with corresponding low values on axial apparent diffusion coefficient map (c), in keeping with an acute infarction. (d) Maximal intensity projection reformatted image from time-of-flight MR angiography shows focal irregular narrowing and banding of proximal left M1 segment of middle cerebral artery with slightly reduced distal flow in middle cerebral artery (arrows).
(a–c) Axial T2-weighted (a) and fluid-attenuated inversion recovery (b) MRI scans show diffuse hyperintense signal and edema of caudate nucleus head, putamen, anterior limb of internal capsule, and parts of external capsule and insula on left side, with corresponding low values on axial apparent diffusion coefficient map (c), in keeping with an acute infarction. (d) Maximal intensity projection reformatted image from time-of-flight MR angiography shows focal irregular narrowing and banding of proximal left M1 segment of middle cerebral artery with slightly reduced distal flow in middle cerebral artery (arrows).
(a–c) Axial T2-weighted (a) and fluid-attenuated inversion recovery (b) MRI scans show diffuse hyperintense signal and edema of caudate nucleus head, putamen, anterior limb of internal capsule, and parts of external capsule and insula on left side, with corresponding low values on axial apparent diffusion coefficient map (c), in keeping with an acute infarction. (d) Maximal intensity projection reformatted image from time-of-flight MR angiography shows focal irregular narrowing and banding of proximal left M1 segment of middle cerebral artery with slightly reduced distal flow in middle cerebral artery (arrows).
(a–c) Axial T2-weighted (a) and fluid-attenuated inversion recovery (b) MRI scans show diffuse hyperintense signal and edema of caudate nucleus head, putamen, anterior limb of internal capsule, and parts of external capsule and insula on left side, with corresponding low values on axial apparent diffusion coefficient map (c), in keeping with an acute infarction. (d) Maximal intensity projection reformatted image from time-of-flight MR angiography shows focal irregular narrowing and banding of proximal left M1 segment of middle cerebral artery with slightly reduced distal flow in middle cerebral artery (arrows).
(a–c) Axial T2-weighted (a) and fluid-attenuated inversion recovery (b) MRI scans show diffuse hyperintense signal and edema of caudate nucleus head, putamen, anterior limb of internal capsule, and parts of external capsule and insula on left side, with corresponding low values on axial apparent diffusion coefficient map (c), in keeping with an acute infarction. (d) Maximal intensity projection reformatted image from time-of-flight MR angiography shows focal irregular narrowing and banding of proximal left M1 segment of middle cerebral artery with slightly reduced distal flow in middle cerebral artery (arrows).
(a–c) Axial T2-weighted (a) and fluid-attenuated inversion recovery (b) MRI scans show diffuse hyperintense signal and edema of caudate nucleus head, putamen, anterior limb of internal capsule, and parts of external capsule and insula on left side, with corresponding low values on axial apparent diffusion coefficient map (c), in keeping with an acute infarction. (d) Maximal intensity projection reformatted image from time-of-flight MR angiography shows focal irregular narrowing and banding of proximal left M1 segment of middle cerebral artery with slightly reduced distal flow in middle cerebral artery (arrows).
See this image and copyright information in PMC

References

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