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"COVID-19 and cervical artery dissection- A causative association?"
Patel, Pratit; Khandelwal, Priyank; Gupta, Gaurav; Singla, Amit.
  • Patel P; Rutgers, The State University of New Jersey Newark, NJ, 07101-6750. Electronic address: pdp91@njms.rutgers.edu.
  • Khandelwal P; Rutgers, The State University of New Jersey Newark, NJ, 07101-6750. Electronic address: pk544@njms.rutgers.edu.
  • Gupta G; Rutgers- Robert Wood Johnson Medical School, New Brunswick, NJ 08901. Electronic address: guptaga@rwjms.rutgers.edu.
  • Singla A; Rutgers, The State University of New Jersey Newark, NJ, 07101-6750. Electronic address: as3321@njms.rutgers.edu.
J Stroke Cerebrovasc Dis ; 29(10): 105047, 2020 Oct.
Article in English | MEDLINE | ID: covidwho-597796
Semantic information from SemMedBD (by NLM)
1. Cervical Artery LOCATION_OF Dissecting hemorrhage
Subject
Cervical Artery
Predicate
LOCATION_OF
Object
Dissecting hemorrhage
2. Dissecting hemorrhage CAUSES COVID-19
Subject
Dissecting hemorrhage
Predicate
CAUSES
Object
COVID-19
3. Disease CAUSES Single organ dysfunction
Subject
Disease
Predicate
CAUSES
Object
Single organ dysfunction
4. Cerebrovascular accident PROCESS_OF Patients
Subject
Cerebrovascular accident
Predicate
PROCESS_OF
Object
Patients
5. Aneurys PREDISPOSES C0038454
Subject
Aneurys
Predicate
PREDISPOSES
Object
C0038454
6. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
7. Arteriopathic disease CAUSES Vertebral Artery Dissection
Subject
Arteriopathic disease
Predicate
CAUSES
Object
Vertebral Artery Dissection
8. Inflammatory Response CAUSES Vertebral Artery Dissection
Subject
Inflammatory Response
Predicate
CAUSES
Object
Vertebral Artery Dissection
9. Experience NEG_PROCESS_OF Patients
Subject
Experience
Predicate
NEG_PROCESS_OF
Object
Patients
10. Physicians TREATS Patients
Subject
Physicians
Predicate
TREATS
Object
Patients
11. Cervical Artery LOCATION_OF Dissecting hemorrhage
Subject
Cervical Artery
Predicate
LOCATION_OF
Object
Dissecting hemorrhage
12. Dissecting hemorrhage CAUSES COVID-19
Subject
Dissecting hemorrhage
Predicate
CAUSES
Object
COVID-19
13. Disease CAUSES Single organ dysfunction
Subject
Disease
Predicate
CAUSES
Object
Single organ dysfunction
14. Cerebrovascular accident PROCESS_OF Patients
Subject
Cerebrovascular accident
Predicate
PROCESS_OF
Object
Patients
15. Aneurysm, Dissecting PREDISPOSES Cerebrovascular accident
Subject
Aneurysm, Dissecting
Predicate
PREDISPOSES
Object
Cerebrovascular accident
16. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
17. Arteriopathic disease CAUSES Vertebral Artery Dissection
Subject
Arteriopathic disease
Predicate
CAUSES
Object
Vertebral Artery Dissection
18. Inflammatory Response CAUSES Vertebral Artery Dissection
Subject
Inflammatory Response
Predicate
CAUSES
Object
Vertebral Artery Dissection
19. Experience NEG_PROCESS_OF Patients
Subject
Experience
Predicate
NEG_PROCESS_OF
Object
Patients
20. Physicians TREATS Patients
Subject
Physicians
Predicate
TREATS
Object
Patients
ABSTRACT
COVID-19 is a pandemic disease which predominantly affects the respiratory system, however it also causes multi-organ dysfunction in a subset of patients. There is a growing evidence that it increases the propensity of strokes in younger patients. Besides producing a prothrombotic state, arterial dissection could be one of its many manifestations, increasing the risks of stroke. Herein, we report the first case of spontaneous bilateral vertebral artery dissection in a patient with COVID-19. 39-year female presented with spontaneous bilateral vertebral artery dissections without any instigating traumatic events and no history of connective tissue disorders. Whether this patient's vertebral artery dissections were triggered by exaggerated inflammatory response or arteriopathy secondary to COVID-19 remains speculative. Nonetheless, arterial dissection could be one of it's complications. It is important for the physicians to be aware of different clinical manifestations of COVID-19 as we manage these patients with no historical experience, to provide adequate care.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Coronavirus Infections / Stroke / Vertebral Artery Dissection Type of study: Diagnostic study / Etiology study / Risk factors Limits: Adult / Female / Humans Language: English Journal: J Stroke Cerebrovasc Dis Journal subject: Vascular Diseases / Brain Year: 2020 Document Type: Article

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Coronavirus Infections / Stroke / Vertebral Artery Dissection Type of study: Diagnostic study / Etiology study / Risk factors Limits: Adult / Female / Humans Language: English Journal: J Stroke Cerebrovasc Dis Journal subject: Vascular Diseases / Brain Year: 2020 Document Type: Article