A quantitative imaging study is critical to detect cortical brain macrostructural alterations associated with an inflammatory response in hospitalized SARS-CoV-2 patients. Using automated processing of the 3D high-resolution T1-weighted anatomical images, we found a decrease of cortical gray matter volume and thickness, but not in the surface area related to increased levels in CSF protein, CSF blood/albumin ratio, and CSF EN-RAGE. The anatomical localization of these regions may be the in vivo hallmarks of the virus effect on the brain cortex due to a hyperinflammatory response and associated with neurological deficits presented in acute and post-Covid phases.
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