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Neurological emergencies associated with COVID-19: stroke and beyond
Amit Agarwal1, Marco Pinho2, Karuna Raj2
1University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA. amit.agarwal@utsouthwestern.edu.
Emergency Radiology
|August 12, 2020
Summary
COVID-19 can cause acute neurological symptoms, including stroke, demyelination, and PRES. This study highlights the diverse neurological complications emerging from the novel coronavirus.
Area of Science:
- Neurology
- Infectious Diseases
- Neuroscience
Background:
- The COVID-19 pandemic has raised concerns about its neurological effects.
- Limited understanding exists regarding the spectrum of neurological complications associated with SARS-CoV-2 infection.
Observation:
- Five patients presented to the emergency room with acute neurological symptoms during a one-month period.
- These presentations occurred in the context of the COVID-19 pandemic.
Findings:
- Two cases of ischemic stroke were identified, one with large-vessel occlusion and another with embolic infarcts.
- Other reported neurological complications included acute tumefactive demyelination, cytotoxic edema with subarachnoid hemorrhage, and posterior reversible encephalopathy syndrome (PRES).
Implications:
- COVID-19 presents with a wide range of neurological manifestations.
- Early recognition of these neurological symptoms is crucial for timely diagnosis and management of COVID-19 patients.
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