tetano
Editor, Senior Moderator
Neurocirugia (Astur)
. 2020 Sep 6;S1130-1473(20)30098-1.
doi: 10.1016/j.neucir.2020.08.001. Online ahead of print.
Supra and infratentorial massive strokes in previously healthy young patients with SARS-CoV-2. The role of neurosurgery
[Article in En, Spanish]
Fernando J Rasc?n-Ram?rez[SUP] 1 [/SUP], ?ngela Mar?a Carrascosa-Granada[SUP] 2 [/SUP], Andr?s Camilo Vargas-Jim?nez[SUP] 2 [/SUP], Borja Ferr?ndez-Pujante[SUP] 2 [/SUP], Francisco Ortu?o-And?riz[SUP] 3 [/SUP]
Affiliations
Abstract
The coronavirus disease 2019 (COVID-19) has amazed by its distinct forms of presentation and severity. COVID-19 patients can develop large-scale ischemic strokes in previously healthy patients without risk factors, especially in patients who develop an acute respiratory distress syndrome (SARS-CoV-2). We hypothesize that ischemic events are usually the result of the combined process of a pro-inflammatory and pro-coagulant state plus vascular endothelial dysfunction probably potentiated by hypoxia, hemodynamic instability, and immobilization, as reported in other cases. To the best of our knowledge, we report the first case of partial obstruction of a vertebral artery in a patient with COVID-19. Decompressive surgery remains a life-saving maneuver in these patients (as in other non-COVID-19 strokes) and requires further investigation.
Keywords: COVID-19; Cerebellar; Cerebelo; Cerebrovascular disease; Cirug?a descompresiva; Coronavirus; Decompressive craniectomy; Enfermedad cerebrovascular; Ictus; SARS-CoV-2; Stroke.
. 2020 Sep 6;S1130-1473(20)30098-1.
doi: 10.1016/j.neucir.2020.08.001. Online ahead of print.
Supra and infratentorial massive strokes in previously healthy young patients with SARS-CoV-2. The role of neurosurgery
[Article in En, Spanish]
Fernando J Rasc?n-Ram?rez[SUP] 1 [/SUP], ?ngela Mar?a Carrascosa-Granada[SUP] 2 [/SUP], Andr?s Camilo Vargas-Jim?nez[SUP] 2 [/SUP], Borja Ferr?ndez-Pujante[SUP] 2 [/SUP], Francisco Ortu?o-And?riz[SUP] 3 [/SUP]
Affiliations
- PMID: 33097419
- DOI: 10.1016/j.neucir.2020.08.001
Abstract
The coronavirus disease 2019 (COVID-19) has amazed by its distinct forms of presentation and severity. COVID-19 patients can develop large-scale ischemic strokes in previously healthy patients without risk factors, especially in patients who develop an acute respiratory distress syndrome (SARS-CoV-2). We hypothesize that ischemic events are usually the result of the combined process of a pro-inflammatory and pro-coagulant state plus vascular endothelial dysfunction probably potentiated by hypoxia, hemodynamic instability, and immobilization, as reported in other cases. To the best of our knowledge, we report the first case of partial obstruction of a vertebral artery in a patient with COVID-19. Decompressive surgery remains a life-saving maneuver in these patients (as in other non-COVID-19 strokes) and requires further investigation.
Keywords: COVID-19; Cerebellar; Cerebelo; Cerebrovascular disease; Cirug?a descompresiva; Coronavirus; Decompressive craniectomy; Enfermedad cerebrovascular; Ictus; SARS-CoV-2; Stroke.