新冠病毒性肺炎可以表现为脑中风

COVID-19表现为中风               

Avula A等Brain Behav Immun 2020年4月28日               顶部               作者。               阿武拉一号，纳利巴勒K 2号，纳鲁拉N 3号，萨波日尼科夫S 4号，丹都V 2号，图姆斯5号，格拉泽A 6号，埃尔萨耶D 3号               1.美国纽约州诺斯韦尔健康州立大学医院肺危重病医学部。电子地址：Dr.akiavula@gmail.com               2美国阿肯色州医学科学大学神经学系。               3.美国纽约州诺斯韦尔健康州立大学医院肺危重病医学部。               4美国纽约州诺斯韦尔健康史坦顿岛大学医院医学部。               5美国纽约迈蒙尼德斯医疗中心血液学和肿瘤科。               6传染病部-Northwell Health-Staten Island University医院，纽约，美国。               抽象的。               （一）               

目的

急性脑卒中即使在COVID-19大流行期间仍然是一种医疗急救。现在，COVID-19患者出现体质和呼吸系统症状，一些患者出现非典型症状，包括胃肠道、心血管或神经系统症状。在这里，我们提出一系列的四个COVID-19急性中风患者作为症状               

方法

检索医院数据库中急性脑卒中患者和疑似COVID-19特征。所有经影像学证实的中风患者和经聚合酶链反应证实的COVID-19均被纳入研究。PCR证实COVID-19病的住院患者，其病程为急性脑卒中，而住院患者被排除在研究之外。回顾性的病人资料来自电子病历。获得知情同意。              

 结果

我们确认了4例影像学确诊的急性中风患者和PCR确诊的SARS-CoV-2感染患者。我们阐明了临床特点，影像学表现和临床过程。               

结论

及时评估和超急性治疗是降低急性脑卒中患者死亡率和发病率的关键。中风小组应警惕COVID-19患者可能出现脑血管意外，并在每个疑似患者身上配备适当的个人防护设备。为了全面了解COVID-19的神经病理学及其对神经系统的影响，迫切需要进一步的研究。

COVID-19 presenting as stroke.

Avula A,et al  Brain Behav Immun             2020  Apr 28MORE            

Authors

• Avula A 1 ,

• Nalleballe K 2 ,

• Narula N 3 ,

• Sapozhnikov S 4 ,

• Dandu V 2 ,

• ToomS 5 ,

• Glaser A 6 ,

• Elsayegh D 3

• 1 Department of Pulmonary Critical Care Medicine, Northwell Health - StatenIsland University Hospital, NY, United States. Electronic address:dr.akiavula@gmail.com.

• 2 Department of Neurology, University of Arkansas for Medical Sciences, AR,United States.

• 3 Department of Pulmonary Critical Care Medicine, Northwell Health - StatenIsland University Hospital, NY, United States.

• 4 Department of Medicine, Northwell Health - Staten Island University Hospital, NY, United States.

• 5 Department of Hematology and Oncology, Maimonides Medical Center, NY, UnitedStates.

• 6 Department of Infectious Disease - Northwell Health - Staten Island UniversityHospital, NY, United States.

Abstract           翻译      

OBJECTIVE Acute stroke remains a medical emergency even during the COVID-19 pandemic. Most patients with COVID-19 present with constitutional and respiratory symptoms, some patients present with atypical symptoms including gastrointestinal, cardiovascular, or neurological symptoms. Here we present a series of four COVID-19 patients with acute stroke as a presenting symptom.METHODS We searched the hospital databases for patients presenting with acute strokes and suspected COVID-19 features. All patients that had imaging confirmed strokes and PCR confirmed COVID-19 were included in the study. Patients admitted to the hospital with PCR confirmed COVID-19 disease whose hospital course was complicated with acute stroke while inpatient were excluded from the study. Retrospective patient data were obtained from electronic medical records. Informed consent was obtained.RESULTS We identified four patients presenting with imaging confirmed acute strokes and PCR confirmed SARS-CoV-2 infection. We elucidate the clinical characteristics, imaging findings, and the clinical course.CONCLUSIONS Timely assessment and hyperacute treatment is the key to minimize mortality and morbidity of patients with acute stroke. Stroke teams should be wary of the fact that COVID-19 patients can present with cerebrovascular accidents and dawn appropriate personal protective equipment in every suspected patient. Further studies are urgently needed for a comprehensive understanding of the neurological pathology of COVID-19 and its effects on the nervous system.