UMass Chan Affiliations
Department of Medicine, Division of Hospital MedicineDocument Type
Journal ArticlePublication Date
2020-06-10Keywords
COVID-19neurological manifestations
cerebrovascular events
Cardiology
Cardiovascular Diseases
Infectious Disease
Nervous System Diseases
Neurology
Virus Diseases
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Show full item recordAbstract
Neurological manifestations in patients with COVID-19 are more frequently being reported. Cerebrovascular events have been reported in around 3% of patients. In this review we summarize the published literature on cerebrovascular events in patients with COVID-19 as available on the PubMed database. So far, 3 studies have reported cerebrovascular events. Cerebrovascular events were identified on screening patients with decreased consciousness or in the presence of focal neurological deficits. These events were common in elderly, critically ill patients and in patients with prior cardio-cerebrovascular comorbidities. The diagnosis of cerebrovascular events was confirmed with computed tomography of the brain in most studies reporting neurological events. Multiple pathological mechanisms have been postulated regarding the process of neurological and vascular injury among which cytokine storm is shown to correlate with mortality. Patients with severe illness are found to have a higher cardio- cerebrovascular comorbidity. With an increasing number of cases and future prospective studies, the exact mechanism by which these cerebrovascular events occur and attribute to the poor outcome will be better understood.Source
Mishra AK, Sahu KK, George AA, Sargent J, Lal A. Cerebrovascular events in COVID-19 patients. Monaldi Arch Chest Dis. 2020 Jun 10;90(2). doi: 10.4081/monaldi.2020.1341. PMID: 32527073. Link to article on publisher's site
DOI
10.4081/monaldi.2020.1341Permanent Link to this Item
http://hdl.handle.net/20.500.14038/27601PubMed ID
32527073Related Resources
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Copyright (c) 2020 The Author(s). This article is distributed under the terms of the Creative Commons Attribution Noncommercial License (by-nc 4.0) which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.Distribution License
http://creativecommons.org/licenses/by-nc/4.0/ae974a485f413a2113503eed53cd6c53
10.4081/monaldi.2020.1341
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Except where otherwise noted, this item's license is described as Copyright (c) 2020 The Author(s). This article is distributed under the terms of the Creative Commons Attribution Noncommercial License (by-nc 4.0) which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.