Post-COVID isolated subclavian artery dissection with multiple cerebral infarctions
Abstract Background Coronavirus disease 2019 (COVID-19) is a pandemic disease which predominantly affects the respiratory system with high critical care mortality and morbidity, yet it also causes multiple organs dysfunction in affected patients. There is a strong evidence that it increases the susc...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
SpringerOpen
2022-10-01
|
Series: | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
Subjects: | |
Online Access: | https://doi.org/10.1186/s41983-022-00549-8 |
_version_ | 1811200679371341824 |
---|---|
author | Taha K. Alloush Adel T. Alloush Fayez Marzouk Khaled O. Abdulghani Hossam M. Shokri |
author_facet | Taha K. Alloush Adel T. Alloush Fayez Marzouk Khaled O. Abdulghani Hossam M. Shokri |
author_sort | Taha K. Alloush |
collection | DOAJ |
description | Abstract Background Coronavirus disease 2019 (COVID-19) is a pandemic disease which predominantly affects the respiratory system with high critical care mortality and morbidity, yet it also causes multiple organs dysfunction in affected patients. There is a strong evidence that it increases the susceptibility of cerebrovascular strokes in such patients. Besides this prothrombotic complication, arterial dissection can be one of its mechanisms increasing the risks of stroke. Case presentation Herein, we report a case of spontaneous isolated subclavian artery dissection in a COVID-19 patient. Sixty-one-year-old female presented with spontaneous isolated subclavian artery dissection without any traumatic events nor history of connective tissue disorders. She had left upper limb ischemia followed by cerebellar, thalamic and occipital infarctions. Whether this patient’s subclavian artery dissection was triggered by exaggerated inflammatory response or arteriopathy secondary to COVID-19 remains speculative. Conclusions Nonetheless, arterial dissection can be one of its complications, it is essential for treating physicians to be attentive for the diversity of COVID-19 clinical manifestations. |
first_indexed | 2024-04-12T02:07:46Z |
format | Article |
id | doaj.art-5b56dc849e0548b99b537f906b2b84ab |
institution | Directory Open Access Journal |
issn | 1687-8329 |
language | English |
last_indexed | 2024-04-12T02:07:46Z |
publishDate | 2022-10-01 |
publisher | SpringerOpen |
record_format | Article |
series | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
spelling | doaj.art-5b56dc849e0548b99b537f906b2b84ab2022-12-22T03:52:29ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292022-10-015811510.1186/s41983-022-00549-8Post-COVID isolated subclavian artery dissection with multiple cerebral infarctionsTaha K. Alloush0Adel T. Alloush1Fayez Marzouk2Khaled O. Abdulghani3Hossam M. Shokri4Department of Neurology and Psychiatry, Faculty of Medicine, Ain Shams UniversityDepartment of Geriatrics and Gerontology, Faculty of Medicine, Ain Shams UniversityDepartement of Vascular Surgery, The Good Shepherd, Italian and alHaya HospitalsDepartment of Neurology and Psychiatry, Helwan University School of MedicineDepartment of Neurology and Psychiatry, Faculty of Medicine, Ain Shams UniversityAbstract Background Coronavirus disease 2019 (COVID-19) is a pandemic disease which predominantly affects the respiratory system with high critical care mortality and morbidity, yet it also causes multiple organs dysfunction in affected patients. There is a strong evidence that it increases the susceptibility of cerebrovascular strokes in such patients. Besides this prothrombotic complication, arterial dissection can be one of its mechanisms increasing the risks of stroke. Case presentation Herein, we report a case of spontaneous isolated subclavian artery dissection in a COVID-19 patient. Sixty-one-year-old female presented with spontaneous isolated subclavian artery dissection without any traumatic events nor history of connective tissue disorders. She had left upper limb ischemia followed by cerebellar, thalamic and occipital infarctions. Whether this patient’s subclavian artery dissection was triggered by exaggerated inflammatory response or arteriopathy secondary to COVID-19 remains speculative. Conclusions Nonetheless, arterial dissection can be one of its complications, it is essential for treating physicians to be attentive for the diversity of COVID-19 clinical manifestations.https://doi.org/10.1186/s41983-022-00549-8Subclavian dissectionCOVID-19Limb ischemiaCerebral infarction |
spellingShingle | Taha K. Alloush Adel T. Alloush Fayez Marzouk Khaled O. Abdulghani Hossam M. Shokri Post-COVID isolated subclavian artery dissection with multiple cerebral infarctions The Egyptian Journal of Neurology, Psychiatry and Neurosurgery Subclavian dissection COVID-19 Limb ischemia Cerebral infarction |
title | Post-COVID isolated subclavian artery dissection with multiple cerebral infarctions |
title_full | Post-COVID isolated subclavian artery dissection with multiple cerebral infarctions |
title_fullStr | Post-COVID isolated subclavian artery dissection with multiple cerebral infarctions |
title_full_unstemmed | Post-COVID isolated subclavian artery dissection with multiple cerebral infarctions |
title_short | Post-COVID isolated subclavian artery dissection with multiple cerebral infarctions |
title_sort | post covid isolated subclavian artery dissection with multiple cerebral infarctions |
topic | Subclavian dissection COVID-19 Limb ischemia Cerebral infarction |
url | https://doi.org/10.1186/s41983-022-00549-8 |
work_keys_str_mv | AT tahakalloush postcovidisolatedsubclavianarterydissectionwithmultiplecerebralinfarctions AT adeltalloush postcovidisolatedsubclavianarterydissectionwithmultiplecerebralinfarctions AT fayezmarzouk postcovidisolatedsubclavianarterydissectionwithmultiplecerebralinfarctions AT khaledoabdulghani postcovidisolatedsubclavianarterydissectionwithmultiplecerebralinfarctions AT hossammshokri postcovidisolatedsubclavianarterydissectionwithmultiplecerebralinfarctions |