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Updated: Dec 1, 2025

Author Spotlight: Assessing Ischemic Stroke Damage Through Middle Cerebral Artery Occlusion Model
Published on: August 11, 2023
COVID-19 and stroke, a case series and review of literature
Hisham Elkhider1, Faisal Ibrahim2, Rohan Sharma1
1Department of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Insights
Severe COVID-19 can cause acute ischemic strokes (AIS) in patients under 60. This study examined four such cases, highlighting common clinical and laboratory findings associated with this serious complication.
Area of Science:
- Neurology
- Infectious Diseases
- Cardiology
Background:
- Coronavirus Disease 2019 (COVID-19) is a global pandemic with increasing cases.
- Multisystem involvement, including the central nervous system (CNS) and peripheral nervous system (PNS), is reported in COVID-19.
- Acute ischemic strokes (AIS) are an emerging complication of COVID-19.
Purpose of the Study:
- To analyze the characteristics, clinical outcomes, and laboratory and imaging results of patients with COVID-19 and AIS.
- To identify common features among patients experiencing AIS as a complication of severe COVID-19.
Main Methods:
- Retrospective analysis of four patients diagnosed with both COVID-19 and AIS.
- Review of patient demographics, clinical presentation, laboratory markers (e.g., D-dimer, inflammatory markers), and neuroimaging findings.
Main Results:
- All four patients were younger than 60 years old.
- Patients presented with hypoxemic respiratory failure due to pneumonia.
- Elevated D-dimer and inflammatory markers were consistently observed in the studied patients.
Conclusions:
- Acute ischemic strokes are a recognized complication in individuals with severe COVID-19.
- The findings suggest a potential link between severe COVID-19, hypoxemic respiratory failure, and AIS in younger adults.
Background:
Corona Virus Disease 2019 (COVID-19) cases continue to increase around the World. Typical symptoms include fever and respiratory illness but a constellation of multisystem involvement including central nervous system (CNS) and peripheral nervous system (PNS) have been reported with COVID-19. Acute ischemic strokes (AIS) have also been reported as a complication.
Methodology:
We analyzed patient characteristics, clinical outcomes, laboratory results and imaging results of four patients with COVID-19 who had AIS.
Results:
All four patients were =< 60 years, had hypoxemic respiratory failure secondary to pneumonia, elevated D-dimer and inflammatory markers.
Conclusion:
Ischemic strokes are known complications in patients with severe COVID-19.
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