ABSTRACT
BackgroundCovid-19 affects mainly the respiratory tract but extra-pulmonary manifestations have been reported including neurologic disorders. Stroke is uncommonly reported in hospitalized patients with Covid-19. To assess the real burden of stroke during Covid-19 we performed a single-center review of stroke among patients with laboratory-confirmed Covid-19.MethodsWe retrospectively searched Colmar Hospital’s database for all the patients with laboratory confirmed Covid-19 who had a stroke between March 3 and April 21, 2020. Results We report seven cases (mean age 73 years) of ischemic stroke among 674 patients hospitalized for laboratory-confirmed coronavirus disease 2019 (Covid-19). Three patients experienced a stroke during hospitalization, and four patients were tested positive 24 h after their admission for stroke. Patients with stroke experienced a predominance of cardioembolic mechanisms, high levels of inflammatory markers, and procoagulative states. ConclusionIschemic stroke is a serious threat in patients with Covid-19, mainly due to an embolic mechanism and cardiologists and neurologists must collaborate in management and prevention of stroke during the Covid-19 pandemic