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Association of structural brain changes with cognitive deficits and fatigue in patients with post-COVID-19 condition

Title: Association of structural brain changes with cognitive deficits and fatigue in patients with post-COVID-19 condition
Authors: Schwichtenberg, Katia; Hartung, Tim; Heine, Josephine; Krohn, Stephan; Boesl, Fabian; Rust, Rebekka; Romanello, Amy; Paul, Friedemann; Bellmann-Strobl, Judith; Franke, Christiana; Finke, Carsten
Contributors: German Research Foundation; Clinical Research Unit KFO 5023 ‘BecauseY’; Heisenberg Program; German Ministry of Education and Research; CONNECT-GENERATE
Source: Brain Communications ; volume 8, issue 2 ; ISSN 2632-1297
Publisher Information: Oxford University Press (OUP)
Publication Year: 2026
Description: Cognitive impairment and fatigue are frequent symptoms in patients with post-COVID-19 condition. However, cognitive issues are often only self-reported and not compared to well-matched control groups. Furthermore, structural brain changes, underlying cognitive impairment and fatigue in post-COVID-19 condition are still not fully understood. To assess cognitive deficits, fatigue, neuropsychiatric symptoms and quality of life in patients with post-COVID-19 condition, determine changes in brain volumes, cortical thickness and regional shape complexity and assess correlations of imaging measures with clinical symptoms, 49 patients with post-COVID-19 condition (80% female) with a confirmed SARS-CoV-2 infection at least 3 months prior to testing and new onset of cognitive complaints and 48 healthy controls matched for sex, age and education level underwent comprehensive neuropsychological testing, MRI-based volumetric analyses, and fractal dimensionality analysis to evaluate structural brain complexity. Neuropsychiatric symptoms and quality of life were assessed using questionnaires. Patients with post-COVID-19 condition exhibited significant deficits of attention, executive functions, phonemic and semantic fluency, verbal learning and episodic and visuospatial memory (all P(corrected) = 0.002–
Document Type: article in journal/newspaper
Language: English
DOI: 10.1093/braincomms/fcag099
DOI: 10.1093/braincomms/fcag099/67386344/fcag099.pdf
Availability: https://doi.org/10.1093/braincomms/fcag099; https://academic.oup.com/braincomms/advance-article-pdf/doi/10.1093/braincomms/fcag099/67386344/fcag099.pdf; https://academic.oup.com/braincomms/article-pdf/8/2/fcag099/67386344/fcag099.pdf
Rights: https://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.FF8F54C9
Database: BASE