343780

Radiological Manifestation of Neurological Complications in COVID-19 pediatric patients admitted in ICU : Retrospective observational study

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Diagnostic Radiology.
Infection and immunity.

Abstract

Background: Early in the COVID 19 pandemic, the most severely affected with the highest mortality were older adults. By contrast, children were a minority of cases and most of them were mildly affected or asymptomatic. As the pandemic progressed, Increasing reports of children developing pediatric multi system inflammatory syndrome temporally associated with COVID-19(MIS-C) suggest that, children may be at high risk of a secondary neurological complications
Objectives: the purpose of the study was for understanding the neuroimaging manifestations of COVID-19 in pediatric population.
Patients and methods:   In this prospective observational study 80 patients with past or present history of COVID-19 infection who presented with neurologic/ neuropsychiatric symptoms between April 2021 and May 2022. Medical records with a special emphasis on CT/MRI were reviewed regarding the intra cranial neurological complication
Results: We reported findings in 80 patients with neuro-COVID .The study had (36 %) of patients represented by convulsions, then dizziness(22.5%) , vertigo, nausea& vomiting (25.2%) ,headache (16.3%). The most common diagnosis was encephalitis in 23 cases, cerebral edema & ADEM by 18 & 17 cases respectively. 11 cases show vasculitis/lacunar infarcts, 7 were normal, 3 cases with PRES and 1 case with venous thrombosis .Regarding the outcome 7 patients died (8.7%), 24 patients (30%) suffered from different disabilities. Unremarkable CT findings were found in the majority of cases  (75 cases ) while the remaining cases (5 cases ) showed patchy ill-defined areas of  hypodensity that was correlated with MRI and clinical manifestations and diagnosed as encephalitis (3 cases ) , diffuse cerebral edema manifested as loss of gyral pattern and ventricular effacement (2 cases ).
Conclusion : neurological findings of Cerebral Mucormycosis  significantly vary from mild to fatal complication , neurological imaging study showed be enrolled within the protocol of COVID-19 work up, mainly MR

DOI

10.21608/svuijm.2023.198093.1566

Keywords

MRI, CT, Brain, COVID 19, Infarction, Thrombosis

Authors

First Name

Neveen Seif Al-Islam

Last Name

Shaker

MiddleName

-

Affiliation

Diagnostic Radiology Department, Faculty of Medicine, Tanta University 31527, Tanta ,Egypt

Email

dr.neveenseif@hotmail.com

City

tanta

Orcid

-

First Name

Yomna Gaber

Last Name

Elfeky

MiddleName

-

Affiliation

Department of Pediatrics, Faculty of Medicine, Tanta University 31527, Tanta ,Egypt

Email

yomnagaberhassan@gmail.com

City

tanta

Orcid

-

First Name

Yousra Foud

Last Name

Rashad

MiddleName

-

Affiliation

Diagnostic Radiology Department, Faculty of Medicine, Tanta University 31527, Tanta ,Egypt

Email

dr.yosra.rashad@gmail.com

City

-

Orcid

-

Volume

7

Article Issue

1

Related Issue

43681

Issue Date

2024-01-01

Receive Date

2023-05-16

Publish Date

2024-01-01

Page Start

429

Page End

438

Print ISSN

2735-427X

Online ISSN

2636-3402

Link

https://svuijm.journals.ekb.eg/article_343780.html

Detail API

https://svuijm.journals.ekb.eg/service?article_code=343780

Order

44

Type

Original research articles

Type Code

1,520

Publication Type

Journal

Publication Title

SVU-International Journal of Medical Sciences

Publication Link

https://svuijm.journals.ekb.eg/

MainTitle

Radiological Manifestation of Neurological Complications in COVID-19 pediatric patients admitted in ICU : Retrospective observational study

Details

Type

Article

Created At

27 Dec 2024