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Long COVID Linked to Enlarged, Underperfused Choroid Plexus and Alzheimer’s Biomarkers

The peer-reviewed MRI study in 179 people finds associations with Alzheimer’s-related blood signals, not evidence of causation.

Overview

  • Participants with neurological Long COVID had roughly 10% larger choroid plexus compared with fully recovered and never-infected groups.
  • Advanced MRI showed reduced perfusion within the enlarged choroid plexus among Long COVID cases.
  • Greater choroid plexus size correlated with higher blood levels of pTau217 and GFAP, markers linked to Alzheimer’s progression and brain injury.
  • Larger choroid plexus volumes were associated with about a 2% lower Mini-Mental State Exam score, indicating modest cognitive differences.
  • Researchers describe a possible inflammation-driven vascular remodeling of the choroid plexus, emphasize the cross-sectional design, and plan longitudinal follow-up after publishing in Alzheimer’s & Dementia.