Student Research Committee, Babol University of Medical Sciences, Babol, Iran.
Cellular and Molecular Biology Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Neurol Sci. 2020 Dec;41(12):3423-3435. doi: 10.1007/s10072-020-04837-0. Epub 2020 Oct 20.
The novel member of coronaviruses family, severe acute respiratory coronavirus-2 (SARS-CoV-2), with high structural homology to SARS-CoV and Middle East respiratory syndrome-related coronavirus (MERS) has spread rapidly with about 20 million cases infection and over 700,000 deaths. SARS-CoV-2 has been emerged as a worldwide disaster due to non-specific few respiratory and gastrointestinal manifestations at the onset of disease as well as long incubation period. Surprisingly, not only respiratory failure but also the underlying coagulation disorder and neurovascular involvement worsen the clinical outcome of infected patients. In this review article, we describe the probable mechanisms of SARS-CoV-2 infection and stroke occurrence. We will also discuss the cerebrovascular events following SARS-CoV-2 infection, the recommended therapies, and future prospects to better manage these patients in coronavirus disease 2019 (COVID-19) outbreak.
新型冠状病毒家族的新成员,严重急性呼吸综合征冠状病毒 2 型(SARS-CoV-2),与严重急性呼吸综合征冠状病毒(SARS-CoV)和中东呼吸综合征冠状病毒(MERS)具有高度结构同源性,其传播速度很快,感染病例约 2000 万例,死亡病例超过 70 万例。由于疾病初期出现非特异性的少数呼吸道和胃肠道表现以及较长的潜伏期,SARS-CoV-2 已成为全球性灾难。令人惊讶的是,不仅呼吸衰竭,而且潜在的凝血障碍和神经血管受累也会使感染患者的临床结局恶化。在这篇综述文章中,我们描述了 SARS-CoV-2 感染和中风发生的可能机制。我们还将讨论 SARS-CoV-2 感染后的脑血管事件、推荐的治疗方法以及未来的展望,以更好地管理这些在 2019 冠状病毒病(COVID-19)大流行中的患者。