Dakay Katarina, Kaur Gurmeen, Gulko Edwin, Santarelli Justin, Bowers Christian, Mayer Stephan A, Gandhi Chirag D, Al-Mufti Fawaz
Department of Neurosurgery, New York Medical College, 100 Woods Rd, Valhalla, NY 10595, United States.
Department of Radiology, Division of Neuroradiology, New York Medical College, Valhalla, NY, United States.
J Stroke Cerebrovasc Dis. 2020 Sep;29(9):105011. doi: 10.1016/j.jstrokecerebrovasdis.2020.105011. Epub 2020 Jun 5.
The current COVID-19 pandemic has recently brought to attention the myriad of neuro- logic sequelae associated with Coronavirus infection including the predilection for stroke, particularly in young patients. Reversible cerebral vasoconstriction syndrome (RCVS) is a well-described clinical syndrome leading to vasoconstriction in the intracra- nial vessels, and has been associated with convexity subarachnoid hemorrhage and oc- casionally cervical artery dissection. It is usually reported in the context of a trigger such as medications, recreational drugs, or the postpartum state; however, it has not been described in COVID-19 infection. We report a case of both cervical vertebral ar- tery dissection as well as convexity subarachnoid hemorrhage due to RCVS, in a pa- tient with COVID-19 infection and no other triggers.
当前的新冠疫情最近使人们关注到与冠状病毒感染相关的众多神经系统后遗症，包括中风倾向，尤其是在年轻患者中。可逆性脑血管收缩综合征（RCVS）是一种已被充分描述的临床综合征，可导致颅内血管收缩，并与脑凸面蛛网膜下腔出血相关，偶尔也与颈动脉夹层有关。它通常在药物、消遣性药物或产后状态等诱因的背景下被报道；然而，在新冠病毒感染中尚未有相关描述。我们报告一例新冠病毒感染且无其他诱因的患者，因RCVS导致颈椎动脉夹层和脑凸面蛛网膜下腔出血。
