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Published on: May 22, 2019
Acute Ischemic Stroke Associated with COVID-19
1Department of Neurology, Medical Faculty, Bahcesehir University, Pendik Medical Park Hospital, Istanbul, Turkey.
Insights
Coronavirus disease 2019 (COVID-19) can cause neurological issues like stroke. This case study highlights a COVID-19 patient who developed acute ischemia, likely due to virus-induced coagulopathy.
Area of Science:
- Neurology
- Infectious Diseases
- Cardiovascular Medicine
Background:
- The COVID-19 pandemic has seen an increase in neurological complications.
- Reported neurological manifestations include ischemic stroke, cerebral venous thrombosis, and intracerebral hemorrhage.
- Sepsis-induced coagulopathy is a potential mechanism for these ischemic events.
Abstract:
During the prevailing coronavirus disease 2019 (COVID-19) pandemic, the disease has started manifesting with some neurological symptoms. There have been reports on acute ischemic stroke, cerebral venous thrombosis, and intracerebral hemorrhage associated with COVID-19. The plausible mechanism that causes these ischemic processes is called "sepsis-induced coagulopathy." A 40-year male patient, who was hospitalised due to COVID-19 pneumonia, developed sudden-onset motor aphasia and right-sided hemiplegia. He was then placed in, with the diagnosis of acute ischemia, most probably associated with COVID-19, considering that the patient's medical history was not remarkable for a relevant etiology, and all tests for the etiology of ischemic stroke showed normal findings. The patient was placed on therapy with acetyl salicylic acid, 300 mg/day. It is presumed that ischemic events occur by an increase in coagulopathy secondary to inflammation. COVID-19 causes ischemic processes by inducing endothelial dysfunction and arterial or venous thrombosis. Key Words: COVID-19, Stroke, Coagulopathy, Ischemia; SARS-CoV-2.
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