COVID-19 and stroke, a case series and review of literature

Hisham Elkhider; Faisal Ibrahim; Rohan Sharma; Sen Sheng; Madhu Jasti; Mitesh Lotia; Nidhi Kapoor; Sanjeeva Onteddu; Sajjad Mueed; Hesham Allam; Krishna Nalleballe

Brain, Behavior, & Immunity - Health (Dec 2020)

COVID-19 and stroke, a case series and review of literature

Hisham Elkhider,
Faisal Ibrahim,
Rohan Sharma,
Sen Sheng,
Madhu Jasti,
Mitesh Lotia,
Nidhi Kapoor,
Sanjeeva Onteddu,
Sajjad Mueed,
Hesham Allam,
Krishna Nalleballe

Affiliations

Hisham Elkhider: Department of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Corresponding author.
Faisal Ibrahim: Department of Neurology, Southern Illinois University, Springfield, IL, USA
Rohan Sharma: Department of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
Sen Sheng: Department of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
Madhu Jasti: Department of Neurology, University of Maryland Baltimore Washington Medical Center, Glen Burnie, MD, USA
Mitesh Lotia: Department of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
Nidhi Kapoor: Department of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
Sanjeeva Onteddu: Department of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
Sajjad Mueed: Department of Neurology, Southern Illinois University, Springfield, IL, USA
Hesham Allam: Department of Neurology, Southern Illinois University, Springfield, IL, USA
Krishna Nalleballe: Department of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR, USA

Journal volume & issue: Vol. 9
p. 100172

Abstract

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Background: Corona Virus Disease 2019 (COVID-19) cases continue to increase around the World. Typical symptoms include fever and respiratory illness but a constellation of multisystem involvement including central nervous system (CNS) and peripheral nervous system (PNS) have been reported with COVID-19. Acute ischemic strokes (AIS) have also been reported as a complication. Methodology: We analyzed patient characteristics, clinical outcomes, laboratory results and imaging results of four patients with COVID-19 who had AIS. Results: All four patients were =< 60 years, had hypoxemic respiratory failure secondary to pneumonia, elevated D-dimer and inflammatory markers. Conclusion: Ischemic strokes are known complications in patients with severe COVID-19.

Published in Brain, Behavior, & Immunity - Health

ISSN: 2666-3546 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Neurosciences. Biological psychiatry. Neuropsychiatry
Website: https://www.journals.elsevier.com/brain-behavior-and-immunity-health

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Abstract

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