提示：COVID-19 即新型冠状病毒肺炎，全称为“Corona Virus Disease 2019”，以下统一使用缩写“COVID-19”。 与 COVID-19 感染相关的脑血管意外：几内亚的 4 例观察病例。
Cerebrovascular accidents indicative of COVID-19 infection: about 4 observations in Guinea.
机构信息
Neurology Department, Ignace Deen University Hospital Center, Conakry, Guinea.
Neurosurgery Department, Ignace Deen University Hospital Center, Conakry, Guinea.
出版信息
Pan Afr Med J. 2020 Jun 5;35(Suppl 2):65. doi: 10.11604/pamj.supp.2020.35.2.23751. eCollection 2020.
INTRODUCTION
Coronavirus is a virus with potential to target the nervous and respiratory systems. The aim of this work is to establish the prevalence of strokes in COVID19 positive patients in Guinea.
METHODS
All patients with stroke confirmed by brain imaging and COVID-positive PCR were included in this study. Retrospective patient data were obtained from medical records. Informed consent was obtained.
RESULTS
The RT-PCR confirmed the initial diagnosis and the chest CT scan provided a good diagnostic orientation. Brain imaging identified ischemic brain lesions. We report the case of four patients with stroke and a COVID-19 incidental finding in Guinea.
CONCLUSION
This work shows that the onset of ischemic stroke associated with COVID-19 is generally delayed, but can occur both early and late in the course of the disease. More attention is needed because the early symptoms of viral attack are not just pulmonary.
简介
冠状病毒是一种有可能攻击神经系统和呼吸系统的病毒。本研究旨在确定几内亚新冠病毒阳性患者中中风的发病率。
方法
所有经脑部影像学和新冠病毒 PCR 检测确诊的中风患者均纳入本研究。回顾性患者数据来自病历。获得了知情同意。
结果
RT-PCR 确认了初步诊断，胸部 CT 扫描提供了良好的诊断方向。脑部影像学识别出缺血性脑损伤。我们报告了在几内亚的四例中风患者和偶然发现的新冠病毒感染病例。
结论
本研究表明，与新冠病毒相关的缺血性中风的发病通常较晚，但在疾病过程中也可早发或晚发。需要更多关注，因为病毒侵袭的早期症状不仅限于肺部。
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