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...

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Main Authors: Taha K. Alloush, Adel T. Alloush, Fayez Marzouk, Khaled O. Abdulghani, Hossam M. Shokri
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
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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.
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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
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