Cerebral venous hemodynamics in patients who had COVID-19 with and without psychiatric disorders

Abstract

Background. The COVID-19 pandemic is one of the biggest global crises that has a negative impact on both the physical and mental health of the population in every country. Objective: to determine the Doppler features of blood flow in the large cerebral veins in patients with and without psychoemotional disorders after suffering from COVID-19. Materials and methods. An analysis of the results of transcranial dopplerography of cerebral venous hemodynamics was carried out in 39 patients who had COVID-19 with psy-choemotional disorders (main group), and 35 patients who had COVID-19 without psy-choemotional disorders (comparison group). Results. The vein of Galen in the comparison group was visualized in 31 (88.9 ± 5.3 %) cases, in the main group — in 37 (94.9 ± 3.5 %) cases, the vein of Rosenthal — in 25 (71.4 ± 7.6 %) and 36 (92.3 ± 4.3 %) cases (P < 0.05), the middle cerebral vein — in 19 (54.3 ± 8.4 %) and 32 (82.1 ± 6.1 %) cases (P < 0.05), straight sinus — in 21 (60.0 ± 8.3 %) and 35 (89.7 ± 4.9 %) cases (P < 0.01), respectively. Conclusions. Among patients who suffered from COVID-19 with psychoemotional disor-ders, the systolic flow velocity in the veins of the brain is significantly higher than among patients who had COVID-19 without psychoemotional disorders. In addition, the non-periodic type of Doppler spectrum is recorded reliably (P < 0.05, P < 0.001) more often, which can be explained by the development of vasospasm.