تقرير
Vasculitis-related stroke in young as a presenting feature of novel coronavirus disease (COVID19) - Case report.
| العنوان: | Vasculitis-related stroke in young as a presenting feature of novel coronavirus disease (COVID19) - Case report. |
|---|---|
| المؤلفون: | de Sousa GC; Neurology Service of Specialized Health Department, Center of Biological and Health Sciences, Universidade do Estado do Pará, Belém, Brazil; Neurology Unit of Pará (UNINEURO), Belém, Brazil. Electronic address: gustavo.csousa@aluno.uepa.br., de Sousa TC; Neurology Unit of Pará (UNINEURO), Belém, Brazil; Centro Universitário Metropolitano da Amazônia, UNIFAMAZ, Brazil., Sakiyama MAK; Neurology Unit of Pará (UNINEURO), Belém, Brazil; Federal University of Pará, Brazil., da Silva JSNL; Neurology Unit of Pará (UNINEURO), Belém, Brazil; Centro Universitário Metropolitano da Amazônia, UNIFAMAZ, Brazil., de Sousa EJS; Neurology Service of Specialized Health Department, Center of Biological and Health Sciences, Universidade do Estado do Pará, Belém, Brazil; Neurology Unit of Pará (UNINEURO), Belém, Brazil; Centro Universitário Metropolitano da Amazônia, UNIFAMAZ, Brazil. |
| المصدر: | Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia [J Clin Neurosci] 2020 Sep; Vol. 79, pp. 169-171. Date of Electronic Publication: 2020 Jul 17. |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Churchill Livingstone Country of Publication: Scotland NLM ID: 9433352 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-2653 (Electronic) Linking ISSN: 09675868 NLM ISO Abbreviation: J Clin Neurosci Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2000->: Edinburgh : Churchill Livingstone Original Publication: Melbourne, Vic., Australia : Churchill Livingstone, c1994- |
| مواضيع طبية MeSH: | Betacoronavirus*, Coronavirus Infections/*complications , Pneumonia, Viral/*complications , Stroke/*diagnostic imaging , Stroke/*etiology , Vasculitis/*diagnostic imaging , Vasculitis/*etiology, Adult ; COVID-19 ; Humans ; Magnetic Resonance Imaging ; Male ; Multimodal Imaging ; Pandemics ; SARS-CoV-2 ; Tomography, X-Ray Computed |
| مستخلص: | COVID-19 is the disease caused by Novel Coronavirus (SARS-CoV-2) infection and world current main public health problem, due to its easy transmissibility and multiple clinical presentations. The main symptoms reported worldwide are dry cough, dyspnea, and fever, as well as anosmia and ageusia. COVID-19 diagnosis is made with RT-PCR, but many other complementary exams may be used to guide clinical practice, such as Chest Computerized Tomography (CT), showing ground glass opacities; increase in inflammatory markers, as C-Reactive Protein and Erythrocyte Sedimentation Rate; hemogram might show hypoalbuminemia, thrombocytopenia. Severe cases may evolve to thromboembolic and atheroembolic events, leading to stroke, myocardial infarction, pulmonary thromboembolism. Male, 28 years old, went for neurological appointment after presenting episode of intense headache, dysarthria, deviation of lip rhyme on appointment's eve. Previously healthy, no comorbidities or risk factors. Underwent brain MRI and serum serological analysis. SARS-CoV-2 capacity of affecting brain homeostasis by breaking blood-brain barrier, makes it easier to develop ischemic or inflammatory damage, and invading central nervous system. Neurological symptoms and syndromes are the main consequences of COVID-19 pandemic and must be prevented through adequate clinical management. (Copyright © 2020 Elsevier Ltd. All rights reserved.) |
| References: | Travel Med Infect Dis. 2020 Mar - Apr;34:101623. (PMID: 32179124) N Engl J Med. 2020 Jun 4;382(23):2268-2270. (PMID: 32294339) Clin Immunol. 2020 Jun;215:108427. (PMID: 32325252) Neurol Sci. 2020 Jun;41(6):1329-1337. (PMID: 32424503) |
| فهرسة مساهمة: | Keywords: COVID-19; SARS-CoV-2; Stroke; Vasculitis |
| تواريخ الأحداث: | Date Created: 20201019 Date Completed: 20201022 Latest Revision: 20210110 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC7367000 |
| DOI: | 10.1016/j.jocn.2020.07.034 |
| PMID: | 33070890 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1532-2653 |
|---|---|
| DOI: | 10.1016/j.jocn.2020.07.034 |