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Updated: Aug 29, 2025

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Cerebrovascular radiological features of COVID-19 positive patients

B Petik1, M Akcicek, M Sahin

  • 1Department of Radiology, Faculty of Medicine, Malatya Turgut Ozal University, Malatya, Turkey. petikbulent@gmail.com.

European Review for Medical and Pharmacological Sciences
|September 6, 2022
PubMed

Insights

COVID-19 patients with neurological symptoms showed a significant incidence of acute cerebrovascular diseases, including stroke and hemorrhage. Cranial imaging is crucial for early detection and management of these life-threatening conditions in infected individuals.

Area of Science:

  • Neurology
  • Radiology
  • Infectious Diseases

Background:

  • The emergence of coronavirus disease 2019 (COVID-19) has been associated with various neurological complications.
  • Acute cerebrovascular diseases, such as stroke and intracranial hemorrhage, pose significant risks to patient health and survival.

Purpose of the Study:

  • To investigate the occurrence of acute cerebrovascular diseases in patients with COVID-19 presenting with neurological signs.
  • To analyze cranial radiologic findings in COVID-19 patients with suspected cerebrovascular events.

Main Methods:

  • A retrospective study included 925 patients admitted between March 2020 and May 2021 with confirmed COVID-19 and neurological symptoms.
  • Patients underwent Multidetector Computed Tomography (MDCT) and/or Magnetic Resonance Imaging (MRI), including diffusion MRI.
  • Data on cerebrovascular events, demographics, and imaging results were analyzed.

Main Results:

  • Cerebrovascular diseases were detected in 13.8% of the 925 COVID-19 patients.
  • Stroke (ischemic or hemorrhagic) was found in 9.9%, intraparenchymal hemorrhage in 4%, subarachnoid hemorrhage in 1.1%, and subdural hemorrhage in 0.43%.
  • Stroke incidence varied significantly with age, while hemorrhage types did not show significant gender-based differences.

Conclusions:

  • Cerebrovascular diseases are a significant concern in COVID-19 patients with neurological symptoms.
  • Prompt cranial radiologic examinations are essential for diagnosing and managing these potentially fatal conditions.
  • Awareness of these risks is critical for clinicians managing COVID-19 patients.
Abstract

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