Severe stroke in patients admitted to intensive care unit after COVID-19 infection: Pictorial essay of a case series

Patients infected by COVID-19 could require intensive care unit admission especially due to acute respiratory failure. However, neurological manifestations are very common. Among these, ischemic stroke or cerebral hemorrhage may have unfavorable outcome. The mechanisms leading to cerebral damage by...

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Main Authors: Cristian Deana, Daniele Bagatto
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2022-03-01
Series:Brain Hemorrhages
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589238X2100067X
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author Cristian Deana
Daniele Bagatto
author_facet Cristian Deana
Daniele Bagatto
author_sort Cristian Deana
collection DOAJ
description Patients infected by COVID-19 could require intensive care unit admission especially due to acute respiratory failure. However, neurological manifestations are very common. Among these, ischemic stroke or cerebral hemorrhage may have unfavorable outcome. The mechanisms leading to cerebral damage by SARS-CoV2 are still under debate. One of the most accepted theories implies an endothelial activation which in turns increase the risk of thrombus formation with the development of stroke, either ischemic or hemorrhagic. The more severe the COVID-19 disease, the higher the risk of stroke. Stroke in ICU patients are not frequent, but cerebral hemorrhage has devastating effects with high mortality. In these pictorial essay of case reports, main clinical aspects are discussed, along with a summary of the evidence about pathophysiology and treatment of these patients.
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spelling doaj.art-bd2198606623441da9db60d347a818592022-12-22T02:22:17ZengKeAi Communications Co., Ltd.Brain Hemorrhages2589-238X2022-03-01312935Severe stroke in patients admitted to intensive care unit after COVID-19 infection: Pictorial essay of a case seriesCristian Deana0Daniele Bagatto1Department of Anesthesia and Intensive Care, Health Integrated Agency of Friuli Centrale, Udine, Italy; Corresponding author at: Anesthesia and Intensive Care 1, Department of Anesthesia and Intensive Care, Academic Hospital of Udine, Piazzale S. Maria della Misericordia 15, 33100 Udine, Italy.Department of Neuroradiology, Health Integrated Agency of Friuli Centrale, Udine, ItalyPatients infected by COVID-19 could require intensive care unit admission especially due to acute respiratory failure. However, neurological manifestations are very common. Among these, ischemic stroke or cerebral hemorrhage may have unfavorable outcome. The mechanisms leading to cerebral damage by SARS-CoV2 are still under debate. One of the most accepted theories implies an endothelial activation which in turns increase the risk of thrombus formation with the development of stroke, either ischemic or hemorrhagic. The more severe the COVID-19 disease, the higher the risk of stroke. Stroke in ICU patients are not frequent, but cerebral hemorrhage has devastating effects with high mortality. In these pictorial essay of case reports, main clinical aspects are discussed, along with a summary of the evidence about pathophysiology and treatment of these patients.http://www.sciencedirect.com/science/article/pii/S2589238X2100067XStrokeCerebral hemorrhageCOVID-19Cerebral sinus thrombosisHeadacheCritically ill patients
spellingShingle Cristian Deana
Daniele Bagatto
Severe stroke in patients admitted to intensive care unit after COVID-19 infection: Pictorial essay of a case series
Brain Hemorrhages
Stroke
Cerebral hemorrhage
COVID-19
Cerebral sinus thrombosis
Headache
Critically ill patients
title Severe stroke in patients admitted to intensive care unit after COVID-19 infection: Pictorial essay of a case series
title_full Severe stroke in patients admitted to intensive care unit after COVID-19 infection: Pictorial essay of a case series
title_fullStr Severe stroke in patients admitted to intensive care unit after COVID-19 infection: Pictorial essay of a case series
title_full_unstemmed Severe stroke in patients admitted to intensive care unit after COVID-19 infection: Pictorial essay of a case series
title_short Severe stroke in patients admitted to intensive care unit after COVID-19 infection: Pictorial essay of a case series
title_sort severe stroke in patients admitted to intensive care unit after covid 19 infection pictorial essay of a case series
topic Stroke
Cerebral hemorrhage
COVID-19
Cerebral sinus thrombosis
Headache
Critically ill patients
url http://www.sciencedirect.com/science/article/pii/S2589238X2100067X
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