Acute Cerebrovascular Disorders and Vasculopathies Associated with Significant Mortality in SARS-CoV-2 Patients Admitted to The Intensive Care Unit in The New York Epicenter.

Al-Mufti, Fawaz; Becker, Christian; Kamal, Haris; Alshammari, Hussein; Dodson, Vincent; Nuoman, Rolla; Dakay, Katarina; Cooper, Jared; Gulko, Edwin; Kaur, Gurmeen; Sahni, Ramandeep; Scurlock, Corey; Mayer, Stephan A; Gandhi, Chirag D

Al-Mufti, Fawaz; Becker, Christian; Kamal, Haris; Alshammari, Hussein; Dodson, Vincent; Nuoman, Rolla; Dakay, Katarina; Cooper, Jared; Gulko, Edwin; Kaur, Gurmeen; Sahni, Ramandeep; Scurlock, Corey; Mayer, Stephan A; Gandhi, Chirag D.

Al-Mufti F; Department of Neurology, Westchester Medical Center at New York Medical College, Valhalla, NY USA; Department of Neurosurgery, Westchester Medical Center at New York Medical College, Valhalla, NY USA; Department of Radiology, Westchester Medical Center at New York Medical College, Valhalla, NY USA.
Becker C; Department of Internal Medicine -Division of Pulmonary and Critical Care, Westchester Medical Center at New York Medical College, Valhalla, NY USA.
Kamal H; Department of Neurosurgery, Westchester Medical Center at New York Medical College, Valhalla, NY USA. Electronic address: haris.kamal@wmchealth.org.
Alshammari H; Department of Neurology, Westchester Medical Center at New York Medical College, Valhalla, NY USA.
Dodson V; Department of Surgery, Rutgers University New Jersey Medical School, Newark, NJ USA.
Nuoman R; Department of Neurology, Westchester Medical Center at New York Medical College, Valhalla, NY USA.
Dakay K; Department of Neurosurgery, Westchester Medical Center at New York Medical College, Valhalla, NY USA.
Cooper J; Department of Neurosurgery, Westchester Medical Center at New York Medical College, Valhalla, NY USA.
Gulko E; Department of Neurology, Westchester Medical Center at New York Medical College, Valhalla, NY USA; Department of Neurosurgery, Westchester Medical Center at New York Medical College, Valhalla, NY USA; Department of Radiology, Westchester Medical Center at New York Medical College, Valhalla, NY USA;
Kaur G; Department of Neurology, Westchester Medical Center at New York Medical College, Valhalla, NY USA; Department of Neurosurgery, Westchester Medical Center at New York Medical College, Valhalla, NY USA; Department of Radiology, Westchester Medical Center at New York Medical College, Valhalla, NY USA;
Sahni R; Department of Neurology, Westchester Medical Center at New York Medical College, Valhalla, NY USA.
Scurlock C; Department of Internal Medicine -Division of Pulmonary and Critical Care, Westchester Medical Center at New York Medical College, Valhalla, NY USA.
Mayer SA; Department of Neurology, Westchester Medical Center at New York Medical College, Valhalla, NY USA; Department of Neurosurgery, Westchester Medical Center at New York Medical College, Valhalla, NY USA.
Gandhi CD; Department of Neurology, Westchester Medical Center at New York Medical College, Valhalla, NY USA; Department of Neurosurgery, Westchester Medical Center at New York Medical College, Valhalla, NY USA; Department of Radiology, Westchester Medical Center at New York Medical College, Valhalla, NY USA.

J Stroke Cerebrovasc Dis ; 30(2): 105429, 2021 Feb.

Article in English | MEDLINE | ID: covidwho-899244

ABSTRACT

ABSTRACT

The current Coronavirus pandemic due to the novel SARS-Cov-2 virus has proven to have systemic and multi-organ involvement with high acuity neurological conditions including acute ischemic strokes. We present a case series of consecutive COVID-19 patients with cerebrovascular disease treated at our institution including 3 cases of cerebral artery dissection including subarachnoid hemorrhage. Knowledge of the varied presentations including dissections will help treating clinicians at the bedside monitor and manage these complications preemptively.

Subject(s)

Aortic Dissection/mortality; COVID-19/mortality; Hemorrhagic Stroke/mortality; Hospital Mortality; Intensive Care Units; Intracranial Aneurysm/mortality; Ischemic Stroke/mortality; Patient Admission; Adult; Aged; Aged, 80 and over; Aortic Dissection/diagnosis; Aortic Dissection/therapy; COVID-19/diagnosis; COVID-19/therapy; Female; Hemorrhagic Stroke/diagnosis; Hemorrhagic Stroke/therapy; Humans; Intracranial Aneurysm/diagnosis; Intracranial Aneurysm/therapy; Ischemic Stroke/diagnosis; Ischemic Stroke/therapy; Male; Middle Aged; New York City/epidemiology; Prospective Studies; Risk Assessment; Risk Factors

Keywords

COVID19, Ischemic stroke, Venous sinus thrombosis; Cerebrovascular disorders; Vascular dissection

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Patient Admission / Intracranial Aneurysm / Hospital Mortality / Ischemic Stroke / Hemorrhagic Stroke / COVID-19 / Intensive Care Units / Aortic Dissection Type of study: Case report / Cohort study / Diagnostic study / Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: J Stroke Cerebrovasc Dis Journal subject: Vascular Diseases / Brain Year: 2021 Document Type: Article

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