Cerebral microbleeds in patients with COVID-19: is there an inevitable connection?

Brain Commun

Department of Neurosurgery, Tianjin Neurological Institute, State Key Laboratory of Experimental Hematology, Key Laboratory of Post-Neuroinjury Neurorepair and Regeneration in Central Nervous System Tianjin & Ministry of Education, Tianjin Medical University General Hospital, Tianjin 300052, China.

Published: July 2024

AI Article Synopsis

  • The COVID-19 pandemic has highlighted the significant link between systematic infections and neurological issues, particularly cerebral microbleeds, which are small brain hemorrhages.
  • The review finds a strong relationship between cerebral microbleeds and the severity of COVID-19, pointing to factors like direct viral damage, inflammation, and blood clotting issues.
  • There is a need for better research methods and increased neurological monitoring for COVID-19 patients to address the serious implications of cerebral microbleeds on long-term health outcomes and to improve pandemic response strategies.

Article Abstract

The COVID-19 pandemic has underscored the critical interplay between systemic infections and neurological complications, notably cerebral microbleeds. This comprehensive review meticulously aggregates and analyses current evidence on cerebral microbleeds' prevalence, pathophysiological underpinnings and clinical implications within COVID-19 cohorts. Our findings reveal a pronounced correlation between cerebral microbleeds and increased severity of COVID-19, emphasizing the role of direct viral effects, inflammatory responses and coagulation disturbances. The documented association between cerebral microbleeds and elevated risks of morbidity and mortality necessitates enhanced neurological surveillance in managing COVID-19 patients. Although variability in study methodologies presents challenges, the cumulative evidence substantiates cerebral microbleeds as a critical illness manifestation rather than mere coincidence. This review calls for harmonization in research methodologies to refine our understanding and guide targeted interventions. Prioritizing the detection and study of neurological outcomes, such as cerebral microbleeds, is imperative for bolstering pandemic response strategies and mitigating the long-term neurological impact on survivors.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11369825PMC
http://dx.doi.org/10.1093/braincomms/fcae236DOI Listing

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