24 May 2022>: Articles
A 62-Year-Old Man Presenting with Bilateral Tremor of the Upper Limb After a Diagnosis of COVID-19 with Confirmed Volumetric Brain Loss
Unusual clinical course, Challenging differential diagnosis
Sachin M. Bhagavan C* , Swathi Beladakere Ramaswamy D , Tejas R. Mehta E , Raghav Govindarajan A , Joseph Cousins CDOI: 10.12659/AJCR.934955
Am J Case Rep 2022; 23:e934955
Table 1. Volumes of cerebral spinal fluid, white matter, the mesencephalon, third ventricle, and cerebellum calculated by Siemens Healthineers brain volumetric analysis, NeuroQuant, shows significant short-term increased cerebral spinal fluid and decreased white matter volume, indicating volume loss.
Volume (ml) | Initial MRI | 2 months post COVID-19 MRI | mL difference | % difference from initial exam |
---|---|---|---|---|
CSF | 358 ml | 392 ml | 34 ml | 9.5% |
White matter | 507 ml | 471 ml | 36 ml | 7.1% |
Mesencephalon | 9.8 ml | 9.7 ml | 0.1 ml | 1% |
3 ventricle | 1.8 ml | 1.7 ml | 0.1 ml | 5.5% |
Cerebellum | 103.1 ml | 104.5 ml | 1.4 ml | 0.013% |
CSF – cerebrospinal fluid. |