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

J Stroke Cerebrovasc Dis. 2021 Feb;30(2):105429. doi: 10.1016/j.jstrokecerebrovasdis.2020.105429. Epub 2020 Nov 2.

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.

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

Publication types

  • Case Reports

MeSH terms

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