Skip to main content

Table 2 Acute clinicopathologic and neuroinflammatory changes in decedents died from COVID-19 (N = 20)

From: Brain autopsies of critically ill COVID-19 patients demonstrate heterogeneous profile of acute vascular injury, inflammation and age-linked chronic brain diseases

Case

Age, sex

Cardiovascular disease/risk factors

Recent infarctions and hemorrhages

Acute ischemia

Viral-related changes

Microglial activation

CD4 + T lymphocytes

CD8 + T lymphocytes

1

26M

Yes

Single acute gross SAH

No

No

Mild

MEN - Minimal

MEN - Minimal

PVS - None

PVS - Moderate

PAR - None

PAR - Moderate

2

43M

No

No

No

Microglial nodule

Severe

MEN – Minimal

MEN - Minimal

PVS - Minimal

PVS - Mild

PAR - None

PAR - Minimal

3

46M

No

Multiple subacute microinfarcts. Multiple acute and subacute gross and micro-IPHs. One acute micro-SAH

Yes

AHLE

Moderate

MEN - Minimal

MEN - Minimal

PVS - Minimal

PVS - Mild

PAR - None

PAR - Minimal

4

51M

Yes

Multiple acute gross and microinfarcts

Yes

No

Moderate

MEN - Minimal

MEN - Minimal

PVS - Minimal

PVS - Minimal

PAR - None

PAR - Minimal

5

60M

Yes

Multiple acute microinfarcts. Multiple acute gross-IPHs and SAHs

Yes

No

Moderate

MEN - Minimal

MEN - Minimal

PVS - Minimal

PVS- Mild

PAR - None

PAR- Mild

6

61F

Yes

No

No

Lymphocytic cuffing

Moderate

MEN - inimal

MEN - Minimal

PVS - Minimal

PVS - Moderate

PAR - None

PAR - Moderate

7

63M

Yes

No

No

No

Moderate

MEN - None

MEN - Minimal

PVS - None

PVS - Mild

PAR - None

PAR - Mild

8

65F

No

Multiple acute microinfarcts. Multiple acute gross and micro-IPHs and SAHs

No

No

Moderate

MEN - Moderate

MEN - Minimal

PVS - Minimal

PVS - Minimal

PAR - Minimal

PAR - Minimal

9

66M

Yes

Multiple acute microinfarcts. Single acute micro-IPH and multiple acute gross-SAHs

Yes

Fibrinoid necrosis

Severe

MEN - Severe

MEN - Minimal

PVS - Mild

PVS - Minimal

PAR - Minimal

PAR - Minimal

10

71M

Yes

No

Yes

Lymphocytic cuffing

Severe

MEN - Minimal

MEN - Minimal

PVS - Minimal

PVS - Mild

PAR - None

PAR - Mild

11

71M

Yes

Single acute microinfarct

No

No

Severe

MEN - None

MEN - Minimal

PVS - None

PVS - Mild

PAR - None

PAR - Mild

12

72M

Yes

Multiple acute gross and micro-IPHs and SAHs

Yes

Lymphocytic cuffing

Severe

MEN - Moderate

MEN - Minimal

PVS - Minimal

PVS - Moderate

PAR - Minimal

PAR - Moderate

13

72F

Yes

Single acute microinfarct

No

No

Moderate

MEN - None

MEN - Minimal

PVS - None

PVS - Mild

PAR - None

PAR - Minimal

14

77F

Yes

Multiple acute microinfarcts

No

Lymphocytic cuffing

Moderate

MEN - Mild

MEN - Minimal

PVS - Minimal

PVS - Minimal

PAR - None

PAR - Minimal

15

77M

Yes

No

No

No

Mild

MEN - Minimal

MEN - Minimal

PVS - Mild

PVS - Mild

PAR - Minimal

PAR - Minimal

16

80M

Yes

No

Yes

Neuronophagia

Mild

MEN- Mild

MEN - Mild

PVS- Minimal

PVS - Mild

PAR - Mild

PAR - Minimal

17

81M

Yes

Single subacute microinfarct

Yes

Microglial nodule

Mild

MEN - Minimal

MEN - Minimal

PVS - Minimal

PVS - Mild

PAR - None

PAR - Mild

18

82M

Yes

Single acute gross IPH

Yes

Microglial nodule

Moderate

MEN - Minimal

MEN - Minimal

PVS - Minimal

PVS - Mild

PAR - None

PAR - Mild

19

83F

Yes

Single subacute gross infarct

No

Neuronophagia, lymphocytic cuffing, and vasculitis-like changes

Moderate

MEN - Minimal

MEN - Minimal

PVS - Minimal

PVS - Mild

PAR - None

PAR - Minimal

20

96F

No

Single acute microinfarct

No

Microglial nodule and lymphocytic cuffing

Severe

MEN - Minimal

MEN - Minimal

PVS - Minimal

PVS - Minimal

PAR - None

PAR - Minimal

  1. AHLE Acute hemorrhagic leukoencephalopathy; IPH Intraparenchymal hemorrhage; MEN Meningeal; PVS Perivascular; PAR Parenchymal; SAH Subarachnoid hemorrhage