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2019冠状病毒病时代的卒中治疗:综述

Stroke Treatment in the Era of COVID-19: a Review.

作者信息

Simonetto Marialaura, Wechsler Paul M, Merkler Alexander E

机构信息

Department of Neurology, Weill Cornell Medicine, New York Presbyterian Hospital, Room F610, 525 East 68th Street, New York, NY 10065 USA.

Clinical and Translational Neuroscience Unit, Feil Family Brain and Mind Research Institute, Weill Cornell Medicine, New York, NY USA.

出版信息

Curr Treat Options Neurol. 2022;24(4):155-171. doi: 10.1007/s11940-022-00713-8. Epub 2022 Apr 25.

Abstract

PURPOSE OF REVIEW

To describe a comprehensive review of the epidemiology, pathophysiology, and treatment of stroke in the era of COVID-19.

RECENT FINDINGS

COVID-19 is associated with myriad neurological disorders, including cerebrovascular disease. While ischemic stroke is the most common, COVID-19 is associated with an increased risk of intracranial hemorrhage, arterial dissection, posterior reversible encephalopathy syndrome, and cerebral venous sinus thrombosis. In this review, we discuss the epidemiology, pathophysiology, and treatment of stroke due to COVID-19. In addition, we describe how COVID-19 has changed the landscape of stroke systems of care and the effect this has had on patients with cerebrovascular disease.

SUMMARY

While COVID-19 is associated with a heightened risk of stroke, the pandemic has led to advances in stroke systems of care that may reduce the long-term burden of stroke.

摘要

综述目的

描述对新冠疫情时代中风的流行病学、病理生理学及治疗的全面综述。

最新发现

新冠病毒(COVID-19)与多种神经系统疾病相关,包括脑血管疾病。虽然缺血性中风最为常见,但COVID-19与颅内出血、动脉夹层、后部可逆性脑病综合征及脑静脉窦血栓形成风险增加有关。在本综述中,我们讨论了COVID-19所致中风的流行病学、病理生理学及治疗。此外,我们描述了COVID-19如何改变了中风照护体系格局及其对脑血管疾病患者的影响。

总结

虽然COVID-19与中风风险增加相关,但这场大流行已促使中风照护体系取得进展,这可能会减轻中风的长期负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6487/9035774/69a3a24d806b/11940_2022_713_Fig1_HTML.jpg

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