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纽约疫情中心入住重症监护病房的新冠病毒肺炎患者中与高死亡率相关的急性脑血管疾病和血管病变

Acute Cerebrovascular Disorders and Vasculopathies Associated with Significant Mortality in SARS-CoV-2 Patients Admitted to The Intensive Care Unit in The New York Epicenter.

作者信息

Al-Mufti Fawaz, Becker Christian, Kamal Haris, Alshammari Hussein, Dodson Vincent, Nuoman Rolla, Dakay Katarina, Cooper Jared, Gulko Edwin, Kaur Gurmeen, Sahni Ramandeep, Scurlock Corey, Mayer Stephan A, Gandhi Chirag D

机构信息

Department of Neurology, Westchester Medical Center at New York Medical College, Valhalla, NY USA; Department of Neurosurgery, Westchester Medical Center at New York Medical College, Valhalla, NY USA; Department of Radiology, Westchester Medical Center at New York Medical College, Valhalla, NY USA.

Department of Internal Medicine -Division of Pulmonary and Critical Care, Westchester Medical Center at New York Medical College, Valhalla, NY USA.

出版信息

J Stroke Cerebrovasc Dis. 2021 Feb;30(2):105429. doi: 10.1016/j.jstrokecerebrovasdis.2020.105429. Epub 2020 Nov 2.

Abstract

The current Coronavirus pandemic due to the novel SARS-Cov-2 virus has proven to have systemic and multi-organ involvement with high acuity neurological conditions including acute ischemic strokes. We present a case series of consecutive COVID-19 patients with cerebrovascular disease treated at our institution including 3 cases of cerebral artery dissection including subarachnoid hemorrhage. Knowledge of the varied presentations including dissections will help treating clinicians at the bedside monitor and manage these complications preemptively.

摘要

由新型严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的当前冠状病毒大流行已被证明会导致全身和多器官受累,并伴有包括急性缺血性中风在内的高敏性神经系统疾病。我们展示了一系列在我们机构接受治疗的连续的新冠肺炎脑血管疾病患者病例,其中包括3例伴有蛛网膜下腔出血的脑动脉夹层病例。了解包括夹层在内的各种表现形式将有助于床边的临床治疗医生预先监测和处理这些并发症。

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