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Neurological emergencies associated with COVID-19: stroke and beyond.
Emerg Radiol. 2020 Dec; 27(6):747-754.ER

Abstract

Novel coronavirus disease (COVID-19) was declared a global pandemic on March 1, 2020. Neurological manifestations are now being reported worldwide, including emergent presentation with acute neurological changes as well as a comorbidity in hospitalized patients. There is limited knowledge on the neurologic manifestations of COVID-19 at present, with a wide array of neurological complications reported, ranging from ischemic stroke to acute demyelination and encephalitis. We report five cases of COVID-19 presenting to the ER with acute neurological symptoms, over the course of 1 month. This includes two cases of ischemic stroke, one with large-vessel occlusion and one with embolic infarcts. The remainders of the cases include acute tumefactive demyelination, isolated cytotoxic edema of the corpus callosum with subarachnoid hemorrhage, and posterior reversible encephalopathy syndrome (PRES).

Authors+Show Affiliations

University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA. amit.agarwal@utsouthwestern.edu.University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA.University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA.University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA.University of Iowa, 200 Hawkins Dr, Iowa City, IA, 52242, USA.University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA.University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA.Department of Radiology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA.University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

32778985

Citation

Agarwal, Amit, et al. "Neurological Emergencies Associated With COVID-19: Stroke and Beyond." Emergency Radiology, vol. 27, no. 6, 2020, pp. 747-754.
Agarwal A, Pinho M, Raj K, et al. Neurological emergencies associated with COVID-19: stroke and beyond. Emerg Radiol. 2020;27(6):747-754.
Agarwal, A., Pinho, M., Raj, K., Yu, F. F., Bathla, G., Achilleos, M., ONeill, T., Still, M., & Maldjian, J. (2020). Neurological emergencies associated with COVID-19: stroke and beyond. Emergency Radiology, 27(6), 747-754. https://doi.org/10.1007/s10140-020-01837-7
Agarwal A, et al. Neurological Emergencies Associated With COVID-19: Stroke and Beyond. Emerg Radiol. 2020;27(6):747-754. PubMed PMID: 32778985.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Neurological emergencies associated with COVID-19: stroke and beyond. AU - Agarwal,Amit, AU - Pinho,Marco, AU - Raj,Karuna, AU - Yu,Frank F, AU - Bathla,Girish, AU - Achilleos,Michael, AU - ONeill,Thomas, AU - Still,Michael, AU - Maldjian,Joseph, Y1 - 2020/08/11/ PY - 2020/07/08/received PY - 2020/08/03/accepted PY - 2020/8/12/pubmed PY - 2020/12/1/medline PY - 2020/8/12/entrez KW - COVID-19 KW - Hypercoagulable KW - MRI KW - Neurological KW - Neurotropism SP - 747 EP - 754 JF - Emergency radiology JO - Emerg Radiol VL - 27 IS - 6 N2 - Novel coronavirus disease (COVID-19) was declared a global pandemic on March 1, 2020. Neurological manifestations are now being reported worldwide, including emergent presentation with acute neurological changes as well as a comorbidity in hospitalized patients. There is limited knowledge on the neurologic manifestations of COVID-19 at present, with a wide array of neurological complications reported, ranging from ischemic stroke to acute demyelination and encephalitis. We report five cases of COVID-19 presenting to the ER with acute neurological symptoms, over the course of 1 month. This includes two cases of ischemic stroke, one with large-vessel occlusion and one with embolic infarcts. The remainders of the cases include acute tumefactive demyelination, isolated cytotoxic edema of the corpus callosum with subarachnoid hemorrhage, and posterior reversible encephalopathy syndrome (PRES). SN - 1438-1435 UR - https://www.unboundmedicine.com/medline/citation/32778985/Neurological_emergencies_associated_with_COVID-19:_stroke_and_beyond. L2 - https://dx.doi.org/10.1007/s10140-020-01837-7 DB - PRIME DP - Unbound Medicine ER -