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Neurovascular complications that can be seen in COVID-19 patients

Shingo Kihira1, Javin Schefflein1, Puneet Pawha1

  • 1Department of Diagnostic, Molecular and Interventional Radiology, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1234, New York, NY 10029, USA.

Clinical Imaging
|October 9, 2020
PubMed

Insights

COVID-19 patients exhibit a hypercoagulable state, increasing risks for blood clots. This study highlights cases of head and neck arterial and venous thrombosis in individuals with SARS-CoV-2 infection.

Area of Science:

  • Internal Medicine
  • Infectious Diseases
  • Cardiology

Background:

  • Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, is a global pandemic.
  • A hypercoagulable state is a recognized complication of SARS-CoV-2 infection.
  • Previous reports have documented various thrombotic events, including pulmonary and abdominal vascular occlusions.

Observation:

  • This study focuses on thrombosis specifically within the head and neck region.
  • Cases of both arterial and venous thrombosis in the head and neck were observed in COVID-19 patients.
  • The clinical presentation and outcomes of these specific thrombotic events are detailed.

Findings:

  • COVID-19 is associated with an increased risk of arterial and venous thrombosis in the head and neck.
  • These thrombotic events can manifest in various vessels within the head and neck region.
  • Early recognition and management of thrombosis are crucial for patients with SARS-CoV-2 infection.

Implications:

  • Understanding the spectrum of thrombotic complications in COVID-19 is essential for clinical management.
  • Head and neck thrombosis should be considered in the differential diagnosis of neurological or vascular symptoms in COVID-19 patients.
  • Further research is needed to elucidate the mechanisms and optimize treatment strategies for COVID-19-related thrombosis.

Keywords:
COVID-19Hemorrhagic strokesLarge vessel occlusionsVenous sinus thrombosis

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