Multiple ischemic stroke with pulmonary embolism revealing severe COVID-19 infection in a young healthy patient
Coronavirus 2019 (COVID-19) disease has caused significant morbidity and mortality worldwide since its emergence in December 2019. Despite its respiratory tropism; there is a nontrivial relationship between this virus and the neurovascular system exposing patients to higher morbidity and mortality....
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322006811 |
| _version_ | 1797990882678407168 |
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| author | Hicham Benramdane Siham Nasri Nada Ouahabi Aahd Belharti Kaouthar Chehita Mebrouk Yassine Brahim Housni Imane Skiker |
| author_facet | Hicham Benramdane Siham Nasri Nada Ouahabi Aahd Belharti Kaouthar Chehita Mebrouk Yassine Brahim Housni Imane Skiker |
| author_sort | Hicham Benramdane |
| collection | DOAJ |
| description | Coronavirus 2019 (COVID-19) disease has caused significant morbidity and mortality worldwide since its emergence in December 2019. Despite its respiratory tropism; there is a nontrivial relationship between this virus and the neurovascular system exposing patients to higher morbidity and mortality. We report the case of a young patient admitted for hemiplegia with acute respiratory failure, in whom imaging found multiple ischemic strokes with pulmonary embolism and severe involvement suggestive of COVID-19 pneumopathy. Stroke in the context of COVID-19 infection has distinct characteristics in terms of disease mechanism, patient demographics, but also clinical, biological, and neuroradiological specificities. The pathogenesis and optimal management of COVID-19-associated ischemic stroke remain unclear, but the coagulopathy and endotheliopathy triggered by the cytokine storm represent possible target mechanisms. |
| first_indexed | 2024-04-11T08:43:37Z |
| format | Article |
| id | doaj.art-d7f26ea2d3f04904b4cfb3aec3780917 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-11T08:43:37Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-d7f26ea2d3f04904b4cfb3aec37809172022-12-22T04:34:05ZengElsevierRadiology Case Reports1930-04332022-12-01171248794884Multiple ischemic stroke with pulmonary embolism revealing severe COVID-19 infection in a young healthy patientHicham Benramdane0Siham Nasri1Nada Ouahabi2Aahd Belharti3Kaouthar Chehita4Mebrouk Yassine5Brahim Housni6Imane Skiker7Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Radiology, Mohammed VI University Hospital Mohammed I University, Oujda, Morocco; Corresponding author.Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Radiology, Mohammed VI University Hospital Mohammed I University, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Anesthesiology and Intensive Care Unit, Mohammed VI University Hospital Mohammed I University, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Radiology, Mohammed VI University Hospital Mohammed I University, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Neurology, Mohammed VI University Hospital Mohammed I University, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Neurology, Mohammed VI University Hospital Mohammed I University, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Anesthesiology and Intensive Care Unit, Mohammed VI University Hospital Mohammed I University, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Radiology, Mohammed VI University Hospital Mohammed I University, Oujda, MoroccoCoronavirus 2019 (COVID-19) disease has caused significant morbidity and mortality worldwide since its emergence in December 2019. Despite its respiratory tropism; there is a nontrivial relationship between this virus and the neurovascular system exposing patients to higher morbidity and mortality. We report the case of a young patient admitted for hemiplegia with acute respiratory failure, in whom imaging found multiple ischemic strokes with pulmonary embolism and severe involvement suggestive of COVID-19 pneumopathy. Stroke in the context of COVID-19 infection has distinct characteristics in terms of disease mechanism, patient demographics, but also clinical, biological, and neuroradiological specificities. The pathogenesis and optimal management of COVID-19-associated ischemic stroke remain unclear, but the coagulopathy and endotheliopathy triggered by the cytokine storm represent possible target mechanisms.http://www.sciencedirect.com/science/article/pii/S1930043322006811COVID-19Ischemic strokeCoagulopathyNeuroinflammation |
| spellingShingle | Hicham Benramdane Siham Nasri Nada Ouahabi Aahd Belharti Kaouthar Chehita Mebrouk Yassine Brahim Housni Imane Skiker Multiple ischemic stroke with pulmonary embolism revealing severe COVID-19 infection in a young healthy patient Radiology Case Reports COVID-19 Ischemic stroke Coagulopathy Neuroinflammation |
| title | Multiple ischemic stroke with pulmonary embolism revealing severe COVID-19 infection in a young healthy patient |
| title_full | Multiple ischemic stroke with pulmonary embolism revealing severe COVID-19 infection in a young healthy patient |
| title_fullStr | Multiple ischemic stroke with pulmonary embolism revealing severe COVID-19 infection in a young healthy patient |
| title_full_unstemmed | Multiple ischemic stroke with pulmonary embolism revealing severe COVID-19 infection in a young healthy patient |
| title_short | Multiple ischemic stroke with pulmonary embolism revealing severe COVID-19 infection in a young healthy patient |
| title_sort | multiple ischemic stroke with pulmonary embolism revealing severe covid 19 infection in a young healthy patient |
| topic | COVID-19 Ischemic stroke Coagulopathy Neuroinflammation |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322006811 |
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