Cited by 711Long-Term Effects of COVID-19COVID-19 Clinical Research StudiesAcute Ischemic Stroke Management

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Characteristics of ischaemic stroke associated with COVID-19

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Beyrouti, Rahma, Adams, Matthew E, Benjamin, Laura, Cohen, Hannah, Farmer, Simon F, Goh, Yee Yen, Humphries, Fiona, Jäger, Hans Rolf, Losseff, Nicholas A, Perry, Richard J, Shah, Sachit, Simister, Robert J, Turner, David, Chandratheva, Arvind, Werring, David J·2020·Journal of Neurology, Neurosurgery & Psychiatry

DOI 10.1136/jnnp-2020-323586PMC PMC7231545

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Abstract

Characteristics of ischaemic stroke associated with COVID-19Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, is associated with coagulopathy causing venous and arterial thrombosis. 1 2 Recent data from the pandemic epicentre in Wuhan, China, reported neurological complications in 36% of 214 patients with COVID-19; acute cerebrovascular disease (mainly ischaemic stroke) was more common among 88 patients with severe COVID-19 than those with nonsevere disease (5.7% vs 0.8%).3 However, the mechanisms, phenotype and optimal management of ischaemic stroke associated with COVID-19 remain uncertain.We describe the demographic, clinical, radiological and laboratory characteristics of six consecutive patients assessed between 1 st and 16 th April 2020 at the National Hospital for Neurology and Neurosurgery, Queen Square, London, UK, with acute ischaemic stroke and COVID-19 (confirmed by reverse-transcriptase PCR (RT-PCR)) (table 1).All six patients had large vessel occlusion with markedly elevated D-dimer levels (≥1000μg/L).Three patients had multiterritory infarcts, two had concurrent venous thrombosis, and, in two, ischaemic strokes occurred despite therapeutic anticoagulation.

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Authors: Beyrouti, R., Adams, M. E., Benjamin, L., Cohen, H., Farmer, S. F., Goh, Y. Y., Humphries, F., Jäger, H. R., Losseff, N. A., Perry, R. J., Shah, S., Simister, R. J., Turner, D., Chandratheva, A., & Werring, D. J.
Affiliations: University College London Hospitals NHS Foundation Trust (GB)
University of Liverpool (GB)
University College London (GB)
Corresponding author: Werring, David J
ORCID: Benjamin, Laura
Cohen, Hannah
Farmer, Simon F
Jäger, Hans Rolf
Perry, Richard J
Simister, Robert J
Chandratheva, Arvind
Werring, David J
Venue: Journal of Neurology, Neurosurgery & Psychiatry
Publisher: BMJ
Published: 2020-04-30
Volume: 91
Issue: 8
Pages: 889-891
ISSN: 0022-3050 (ISSN-L)
1468-330X
DOI: 10.1136/jnnp-2020-323586
PMC: PMC7231545
OpenAlex: W3022807497
Cited by: 711
References: 5
Citations by year: 2026: 3 · 2025: 14 · 2024: 32 · 2023: 40 · 2022: 117 · 2021: 253 · 2020: 250
FWCI: 71.40
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc
creativecommons.org/licenses/by-nc/4.0/ (unspecified)
Locations: Journal of Neurology Neurosurgery & Psychiatry (publishedVersion, cc-by-nc)
PubMed Central (publishedVersion, cc-by-nc)
PubMed (publishedVersion)
UCL Discovery (University College London) (submittedVersion)
HighWire Press Open Archive (submittedVersion)
Topics: Health Sciences › Medicine › Clinical Neurology › Long-Term Effects of COVID-19
Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
Health Sciences › Medicine › Clinical Neurology › Acute Ischemic Stroke Management
Keywords: COVID-19 pandemic, SARS-CoV-2, ischemic stroke, large vessel occlusion, D-dimer, coagulopathy, venous thrombosis, anticoagulation failure, neurological complications of COVID-19, stroke features
MeSH terms: Betacoronavirus, COVID-19, SARS-CoV-2, Aged, Aged, 80 and over, Brain Ischemia, Female, Humans, Male, Middle Aged, Pneumonia, Viral, Coronavirus Infections, Stroke, Pandemics

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