Acute Ischemic and Hemorrhagic Stroke and COVID-19: Case Series

Poya Fatehi1, Negin Hesam-Shariati2, Morteza Abouzaripour3

  • 1Department of Radiology, Tohid Hospital, Kurdistan University of Medical Sciences, Sanandaj, Iran.

Insights

The coronavirus disease (COVID-19) can cause serious complications, including stroke. This study highlights five hospitalized patients with COVID-19 who experienced neurological symptoms and brain imaging abnormalities.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Vascular Medicine

Background:

  • The COVID-19 pandemic presents a significant global health challenge with multi-systemic complications.
  • COVID-19 is associated with venous and arterial thromboembolism due to factors like immobility, inflammation, and hypoxia.
  • Neurological manifestations of COVID-19 are increasingly recognized.

Purpose of the Study:

  • To report cases of adult COVID-19 patients experiencing neurological complications.
  • To investigate the potential link between COVID-19 infection and cerebrovascular events.
  • To highlight the importance of neuroimaging in COVID-19 patients with neurological symptoms.

Main Methods:

  • Retrospective case series of five adult patients hospitalized with COVID-19.
  • Clinical data collection including symptoms, demographics, and family history.
  • Laboratory analysis including Red Blood Cell (RBC) count.
  • Cerebral Computed Tomography (CT) scans for all patients.

Main Results:

  • All five patients presented with fever, chills, muscular pain, cough, and tachypnea.
  • Low Red Blood Cell (RBC) levels were observed in all patients.
  • Abnormal findings on cerebral CT scans were present in all patients, indicating potential brain involvement.
  • Patients ranged from 20 to 55 years old, with all having had contact with family members infected with coronavirus.

Conclusions:

  • COVID-19 may lead to cerebrovascular complications, including stroke.
  • Brain imaging abnormalities in COVID-19 patients suggest potential damage to cerebral blood vessels.
  • These findings underscore the need for vigilance regarding neurological complications in COVID-19 patients.