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Acute Ischemic Hemorrhagic Stroke in Two COVID-19 Patients
Luigi Urciuoli1, Elvira Guerriero2, Lanfranco Musto1
1Department of Radiology, G. Criscuoli Hospital, Italy.
Insights
Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, can lead to neurological complications like stroke. Healthcare providers should consider COVID-19 in patients presenting with cerebrovascular accidents.
Area of Science:
- Neurology
- Infectious Diseases
- Public Health
Background:
- Coronavirus disease 2019 (COVID-19) is a global pandemic caused by SARS-CoV-2.
- Neurological manifestations are increasingly recognized complications of COVID-19.
- Cerebrovascular accidents (stroke) represent a significant neurological concern in COVID-19 patients.
Observation:
- This report details two cases where patients presented with both COVID-19 and cerebrovascular accidents (stroke).
- The neurological manifestations of COVID-19 require further investigation.
- These cases highlight a potential link between SARS-CoV-2 infection and stroke.
Findings:
- COVID-19 patients may exhibit cerebrovascular accidents as a presenting symptom.
- The co-occurrence of COVID-19 and stroke necessitates clinical vigilance.
- Further research is crucial to elucidate the mechanisms underlying COVID-19-associated neurological pathology.
Implications:
- Stroke teams must be aware of the possibility of COVID-19 in patients with cerebrovascular events.
- Early recognition and management of COVID-19 in stroke patients may improve outcomes.
- Understanding the neuroinvasive potential of SARS-CoV-2 is critical for comprehensive patient care.
Abstract:
Coronavirus disease 2019 (COVID-19) is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). First identified in December 2019, in Wuhan, China, it has since become a global pandemic. Complications of COVID-19 are not limited to the pulmonary system, but also include neurologic manifestations such as stroke. We report two cases of coincidental presentation of COVID-19 and cerebrovascular accident. Further studies are needed for a comprehensive understanding of the neurological pathology of COVID-19 and its effects on the nervous system, but stroke teams should be wary of the fact that COVID-19 patients may present with cerebrovascular accidents.

