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Cerebrovascular disease in patients with COVID-19 infection: a case series from Lebanon

Zeinab El Mawla1, Ghaidaa El Saddik2, Maya Zeineddine3

  • 1Faculty of Medicine, Department of Pulmonary & Critical Care.

Annals of Medicine and Surgery (2012)
|July 10, 2023
PubMed

Insights

This study examined 18 cases of acute stroke in COVID-19 patients, finding elevated inflammation and coagulation markers. Stroke outcomes were often severe, with death linked to COVID-19 severity.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Cardiovascular Medicine

Background:

  • COVID-19 is linked to multi-organ complications, including neurological issues.
  • The precise relationship between COVID-19 and stroke remains unclear.
  • Neurologic manifestations are an increasing concern in COVID-19 patients.

Purpose of the Study:

  • To report on acute stroke cases in patients with COVID-19 infection.
  • To analyze the characteristics and outcomes of stroke in COVID-19 patients.
  • To investigate the association between COVID-19 and different stroke types.

Main Methods:

  • A case series of 18 patients with acute stroke and COVID-19 infection was analyzed.
  • Included were 11 cases of ischemic stroke and 7 cases of hemorrhagic stroke.
  • Inflammation and coagulation markers were assessed in stroke patients.

Main Results:

  • Patients with ischemic and hemorrhagic stroke exhibited elevated inflammation and coagulation markers.
  • Treatments for ischemic stroke included anti-platelets, anticoagulants, and thrombolytic therapies.
  • The most frequent outcome was death, particularly in patients with severe COVID-19.

Conclusions:

  • COVID-19 is associated with an increased risk of both ischemic and hemorrhagic stroke.
  • Elevated inflammatory and coagulation markers are common in COVID-19 patients experiencing stroke.
  • Stroke severity in COVID-19 patients correlates with disease severity and mortality.

Keywords:
Lebanoncovid-19haemorrhagicischaemicneurologic complicationsstroke

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