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Studies reveal vascular damage in the brains of Covid patients, but no direct viral attack

Studies reveal vascular damage in the brains of Covid patients, but no direct viral attack

 


A new study by researchers at the National Institutes of Health found features of damage caused by cerebrovascular thinning and leakage in tissue samples of patients who died shortly after being infected with Covid-19.

However, they show no signs of SARS-CoV-2 in tissue samples, suggesting that the damage was not caused by a direct viral attack on the brain.

Avindra Nath, MD, clinical director and lead author of the study at the National Institutes of Neurological Disorders and Strokes (NINDS) at NIH, said: Damage to microvessels. ”

“Our results suggest that this can be caused by the body’s inflammatory response to the virus. These results help doctors understand the full range of problems that patients may suffer. I hope it helps you come up with better treatments, “he added.

Neurological meaning

Early studies have shown that Covid-19 also has neurological effects. These include headache, delirium, cognitive dysfunction, dizziness, malaise, and loss of smell.

Several studies have shown that the disease can cause inflammation and damage to blood vessels.

For a new study, researchers conducted a detailed analysis of brain tissue samples from 19 patients who died after experiencing Covid-19 between March and July 2020. Patients died in a wide range of ages, from 5 to 73 years. .. They died within hours to two months of reporting their symptoms.

Read again: Researchers Find out Why Covid-19 Fatigue, Headaches, Olfactory and Taste Loss

Researchers have adopted a special high-power magnetic resonance imaging (MRI) scanner that is 4 to 10 times more sensitive than most MRI scanners to examine each patient’s olfactory bulb and brainstem samples.

Scans revealed that both areas were rich in bright spots called high signals, which often show inflammation, and dark spots called low intensity, which showed bleeding.

They found that bright spots contained smaller blood vessels than usual, and that blood proteins such as fibrinogen could leak into the brain. This seemed to provoke an immune response.

The spot was surrounded by T cells from the blood and the brain’s own immune cells called microglia. In contrast, dark spots contained both coagulated and leaky vessels, but no immune response.

“We were completely surprised. Initially, we expected to see damage caused by lack of oxygen. Instead, we saw multiple areas of injury usually associated with stroke and neuroinflammatory disease. “It was,” said Nath.

Read again:Delirium may be an early marker of Covid-19: study

Finally, researchers showed no signs of infection in brain tissue samples, despite using several methods to detect genetic material or proteins from SARS-CoV-2.

“So far, our results suggest that the damage we saw may not have been caused by the SARS-CoV-2 virus, which infects the brain directly.” Dr. Nath said.

The results of this study were published in the New England Journal of Medicine.

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