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Case Reports
. 2020 Jun 25;7(5):e823.
doi: 10.1212/NXI.0000000000000823. Print 2020 Sep.

COVID-19-associated ophthalmoparesis and hypothalamic involvement

Elba Pascual-Goñi  1 , Juan Fortea  1 , Alejandro Martínez-Domeño  1 , Nuria Rabella  1 , Mario Tecame  1 , Cristina Gómez-Oliva  1 , Luis Querol  2 , Beatriz Gómez-Ansón  1
Affiliations
Case Reports

COVID-19-associated ophthalmoparesis and hypothalamic involvement

Elba Pascual-Goñi et al. Neurol Neuroimmunol Neuroinflamm. .
No abstract available

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Figures

Figure 1
Figure 1. MRI findings in case 1 (A–D) and case 2 (E–H)
Case 1: (A) Sagittal fluid-attenuated inversion recovery (FLAIR) demonstrates an enlarged, hyperintense pituitary gland, thickened pituitary stalk, and hyperintense hypothalamus. T2/FLAIR-hyperintensity (HI) is also seen in the dorsal midbrain and pons. (B) Sagittal postcontrast 3D magnetization-prepared rapid gradient echo imaging T1 shows a heterogeneously enhancing pituitary and upper stalk. (C) Axial FLAIR shows HI in the tegmentum, involving the right abducens nucleus. (D) Coronal FLAIR shows a hyperintense pituitary gland, prominent HI in the periventricular region of the III ventricle, and subtle HI in the medial temporal lobes. Case 2: (E) Sagittal FLAIR demonstrates extensive HI in the hypothalamus and dorsal brainstem. (F) Axial FLAIR image shows HI and swelling of the hypothalamus, mammillary bodies, and dorsal midbrain. (G) Axial FLAIR demonstrates HI in the tectum of the midbrain and subtle HI in the medial temporal lobes. (H) Coronal FLAIR shows a prominent HI in the periventricular region of the III ventricle and in the mammillary bodies, and subtle HI in the medial temporal lobes.
See this image and copyright information in PMC

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