翻译老师：凌一童医院

审校老师：姜春医院

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HistoryandCTimages

History:A45-year-oldwomanpresentedtotheemergencydepartmentwithdysarthriaandwithoutanyotherneurologicaldeficit.ShepreviouslyexperiencedsymptomsofCOVID-19,suchasfever,persistentcough,tiredness,andgeneralizedmyalgia,andhadbeenself-isolatingforthepast14days.However,atthetimeofpresentation,shewasasymptomaticforCOVID-19.

AbrainCTscanwasperformed.Axialnoncontrastimagesareprovided.

病史和CT图像

病史：一名45岁的女性因构音障碍到急诊科就诊，没有任何其它神经功能症状。之前她经历过发烧、持续性咳嗽、乏力和全身性肌痛等covid-19的症状，并在过去的14天里一直自我隔离。本次就诊，COVID-19感染的症状已消失。

完善头颅CT检查。下图为轴位平扫图像。

MRimages

BrainMRimagingwasperformedtoevaluatehypodensitiesseenonCT.

MR图像

行头颅MR检查以评估在CT上看到的低密度影。

MRIrevealedacuteinfarctsinvolvingbilateralcentrumsemiovaleandcoronaradiata.Widespreadconfluentbilateralsubcorticalandperiventricularwhite-matterhyperintensitieswereseen,withprominentinvolvementoftheanteriortemporallobe.Chroniclacunarinfarctswerealsoseenintherightcentrumsemiovaleandleftbasalganglia.

Eightdaysaftertheinitialepisode,thepatient

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