Tajmirriahi Marzieh, Masjedi Esfahani Maryam, Amouaghaei Zahra, Mansori Nahid, Miralaei Pantea, Lalehzar Sahar Sadat, Shirani Peiman, Saadatnia Mohammad
Isfahan Neurosciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Neurosurgery, University of Cincinnati, Cincinnati, OH.
J Res Med Sci. 2023 Feb 21;28:10. doi: 10.4103/jrms.jrms_594_21. eCollection 2023.
Some studies showed the cerebrovascular manifestation in patients with recently pandemic coronavirus 2 named the coronavirus disease 2019 (COVID-19). However, there are rare reports about stroke subtypes in these patients. Here, we reported the stroke subtype in patients with laboratory-confirmed diagnosis of COVID-19 and treated at our hospitals, which are located in Isfahan, Iran.
This is a retrospective, observational case series. Data were collected from March 01, 2020, to May 20, 2020, at three designated special care centers for COVID-19 of Isfahan University of Medical Sciences. The study included 1188 consecutive hospitalized patients with laboratory-confirmed diagnosis of COVID-19.
Of 1188 COVID-19 patients, 7 (0.5%) patients developed stroke. Five (0.4%) had ischemic arterial stroke, 1 (0.08%) hemorrhagic stroke and 1(0.08 %) cerebral venous and sinus thrombosis. Sixty percent of ischemic stroke were cardioembolic stroke (CE) and the rest 2 (40%) were embolic stroke of undetermined source. Three male patients (40%) had stroke as a presenting and admitted symptom of COVID-19. Four patients (57%) had severe COVID-19.
Stroke was an uncommon manifestation in COVID-19 patients. CE was a common subtype of stroke in COVID-19 patients in our centers.
一些研究显示，近期流行的严重急性呼吸综合征冠状病毒2（SARS-CoV-2）所致的2019冠状病毒病（COVID-19）患者存在脑血管表现。然而，关于这些患者中风亚型的报道很少。在此，我们报告了在伊朗伊斯法罕我们医院接受治疗的实验室确诊COVID-19患者的中风亚型。
这是一项回顾性观察病例系列研究。数据于2020年3月1日至2020年5月20日在伊斯法罕医科大学指定的三个COVID-19特殊护理中心收集。该研究纳入了1188例连续住院的实验室确诊COVID-19患者。
在1188例COVID-19患者中，7例（0.5%）发生中风。5例（0.4%）为缺血性动脉中风，1例（0.08%）为出血性中风，1例（0.08%）为脑静脉和静脉窦血栓形成。缺血性中风的60%为心源性栓塞性中风（CE），其余2例（40%）为不明来源的栓塞性中风。3例男性患者（40%）中风为COVID-19的首发及入院症状。4例患者（57%）患有重症COVID-19。
中风是COVID-19患者中不常见的表现。在我们中心，CE是COVID-19患者中风的常见亚型。
