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Intraluminal carotid thrombosis and acute ischemic stroke associated with COVID-19.
Hamouda, Diaa; Jillella, Dinesh V; Bhatt, Nirav; Koneru, Sitara; Frankel, Michael R; Nogueira, Raul G.
  • Hamouda D; Department of Neurology, Emory University School of Medicine and Marcus Stroke and Neuroscience Center, Grady Memorial Hospital, Atlanta, GA, USA.
  • Jillella DV; Department of Neurology, Emory University School of Medicine and Marcus Stroke and Neuroscience Center, Grady Memorial Hospital, Atlanta, GA, USA. dineshvinayakjillella@gmail.com.
  • Bhatt N; Department of Neurology, Emory University School of Medicine and Marcus Stroke and Neuroscience Center, Grady Memorial Hospital, Atlanta, GA, USA.
  • Koneru S; Department of Neurology, Emory University School of Medicine and Marcus Stroke and Neuroscience Center, Grady Memorial Hospital, Atlanta, GA, USA.
  • Frankel MR; Department of Neurology, Emory University School of Medicine and Marcus Stroke and Neuroscience Center, Grady Memorial Hospital, Atlanta, GA, USA.
  • Nogueira RG; Department of Neurology, Emory University School of Medicine and Marcus Stroke and Neuroscience Center, Grady Memorial Hospital, Atlanta, GA, USA.
J Neurol ; 268(12): 4443-4447, 2021 Dec.
Article in English | MEDLINE | ID: covidwho-1206873
ABSTRACT
COVID-19 (Coronavirus disease 2019) caused by SARS-CoV-2 has a diverse constellation of neurological manifestations that include encephalopathy, stroke, Guillain-Barré syndrome, myelitis, and encephalitis. Intraluminal carotid thrombi (ILT) are infrequent lesions seen in only 1.6% of patients with acute ischemic stroke. Underlying atherosclerosis is the most common lesion associated with ILT formation. However, with COVID-19, we have encountered ILT in patients without significant atherosclerotic disease. The endothelial inflammation and hypercoagulable state associated with COVID-19 pose a risk of arterial and venous thromboembolism and could have contributed to this presentation although the exact pathophysiology and optimal treatment of ILT in COVID-19 remain elusive. Herein, we present a series of ischemic stroke patients with carotid ILT in the setting of a recent SARS-CoV-2 infection.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Carotid Artery Thrombosis / Brain Ischemia / Stroke / Ischemic Stroke / COVID-19 Type of study: Prognostic study Topics: Long Covid Limits: Humans Language: English Journal: J Neurol Year: 2021 Document Type: Article Affiliation country: S00415-021-10562-1

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Carotid Artery Thrombosis / Brain Ischemia / Stroke / Ischemic Stroke / COVID-19 Type of study: Prognostic study Topics: Long Covid Limits: Humans Language: English Journal: J Neurol Year: 2021 Document Type: Article Affiliation country: S00415-021-10562-1