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dc.contributor.authorSonmez Topcu, Feyza
dc.contributor.authorYurtlu Temel, Sirin
dc.contributor.authorTutpinar, Yildiray
dc.date.accessioned2021-05-07T08:59:53Z
dc.date.available2021-05-07T08:59:53Z
dc.date.issued2021en_US
dc.identifier.citationy 01, 2021 Şirin YURTLU TEMEL https://orcid.org/0000-0003-3081-4577 Yıldıray TUTPINAR https://orcid.org/0000-0001-9445-6604 Cite as: Sen_US
dc.identifier.issn2619 – 9041
dc.identifier.urihttps://doi.org/10.19127/bshealthscience.844062
dc.identifier.urihttps://hdl.handle.net/20.500.12713/1726
dc.description.abstractAbstract: Most patients with COVID-19 present with constitutional and respiratory symptoms and some with atypical gastrointestinal, cardiovascular, or neurological manifestations. Recent studies suggest that there are neurologic manifestations of COVID-19, including acute cerebrovascular disease (CVD). The aim of this study is to find out any evidence of COVID-19 related stroke. Radiologic studies of the patients admitted to the emergency department (ED) of our center from March 11 Th to June 10 Th 2020, with acute stroke symptoms and of whom the acute cerebrovascular disease is confirmed by Computed Tomography (CT) and/or Magnetic Resonance Imaging (MRI) are searched retrospectively. CT Angiography (CTA) and MR Angiography (MRA) studies obtained for stroke management, searched for acute thromboembolism. We noticed some radiologic evidence of acute cerebrovascular disease in 56 patients of 528 patients admitted with immediate neurological symptoms. 11 (19.64 %) of these patients who were not diagnosed before, proved to be simultaneous COVID-19 infection with laboratory tests and/or thorax CT. It was noteworthy that these 11 patients presented with an acute cerebrovascular event supported by neurological and radiological findings instead of the well-known constitutional or respiratory symptoms of COVID 19 infection. 45 (80.35 %) patients were negative for COVID-19 infection. CT /or MR Angiography demonstrated carotid or intracranial major arterial thromboembolism in 5 (11.1 %) of the non-COVID-19 patients and 5 (45.4 %) of the simultaneous COVID-19 disease diagnosed ones. COVID19 positive 5 patients presented with acute internal carotid artery (ICA) or major ICA branch thrombosis at the first stage of COVID-19 infection, rather than a complication of the serious lung disease or a component of multiorgan disfunction related COVID-19. Acute cerebrovascular disease symptoms bringing patients to the ED instead of the respiratory symptoms, aroused high suspicion of the direct neuropathy and early coagulopathy effect of the virus. COVID- 19 disease, itself thought to be a great risk factor for stroke alone. Even in initial cases and in cases where COVID-19 infection do not show a severe and fatal course, stimulation in the coagulation cascade in the early stages, increased the risk of acute stroke.en_US
dc.language.isoengen_US
dc.relation.isversionof10.19127/bshealthscience.844062en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCOVID-19en_US
dc.subjectSars Cov-2en_US
dc.subjectAcute Cerebrovascular Diseaseen_US
dc.subjectInfection Related Strokeen_US
dc.titleCOVID-19 and strokeen_US
dc.typearticleen_US
dc.contributor.departmentİstinye Üniversitesi, Hastaneen_US
dc.contributor.authorID0000-0002-7450-2949en_US
dc.contributor.authorID0000-0003-3081-4577en_US
dc.contributor.authorID0000-0001-9445-6604en_US
dc.contributor.institutionauthorSonmez Topcu, Feyza
dc.contributor.institutionauthorYurtlu Temel, Sirin
dc.contributor.institutionauthorTutpinar, Yildiray
dc.identifier.volume4en_US
dc.identifier.issue2en_US
dc.identifier.startpage124en_US
dc.identifier.endpage128en_US
dc.relation.journalBlack Sea Journal of Health Scienceen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US


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