%0 Journal Article %A R. Hanafi %A P.-A. Roger %A B. Perin %A G. Kuchcinski %A N. Deleval %A F. Dallery %A D. Michel %A L. Hacein-Bey %A J.-P. Pruvo %A O. Outteryck %A J.-M. Constans %T COVID-19 Neurologic Complication with CNS Vasculitis-Like Pattern %D 2020 %R 10.3174/ajnr.A6651 %J American Journal of Neuroradiology %P 1384-1387 %V 41 %N 8 %X SUMMARY: Coronavirus disease 2019 (COVID-19) is a viral infection caused by the Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2), which spreads rapidly from person to person and manifests in most symptomatic patients as a respiratory illness, similar to prior SARS viruses. Neurologic manifestations of COVID-19 are uncommon; those so far reported include encephalopathy, stroke from large-vessel occlusion, and polyneuropathy. We report a unique neurologic complication of COVID-19 in a patient who had extensive cerebral small-vessel ischemic lesions resembling cerebral vasculitis in a characteristic combined imaging pattern of ischemia, hemorrhage, and punctuate postcontrast enhancement. Also, a characteristic lower extremity skin rash was present in our patient. Our observation lends support to the increasingly suspected mechanism of “endotheliitis” associated with this novel coronavirus.ACE2angiotensin converting enzyme 2COVID-19coronavirus disease 2019SARS-CoV-2Severe Acute Respiratory Syndrome coronavirus 2 %U https://www.ajnr.org/content/ajnr/41/8/1384.full.pdf