Intraluminal carotid thrombosis and acute ischemic stroke associated with COVID-19
© 2021. Springer-Verlag GmbH Germany, part of Springer Nature..
COVID-19 (Coronavirus disease 2019) caused by SARS-CoV-2 has a diverse constellation of neurological manifestations that include encephalopathy, stroke, Guillain-Barré syndrome, myelitis, and encephalitis. Intraluminal carotid thrombi (ILT) are infrequent lesions seen in only 1.6% of patients with acute ischemic stroke. Underlying atherosclerosis is the most common lesion associated with ILT formation. However, with COVID-19, we have encountered ILT in patients without significant atherosclerotic disease. The endothelial inflammation and hypercoagulable state associated with COVID-19 pose a risk of arterial and venous thromboembolism and could have contributed to this presentation although the exact pathophysiology and optimal treatment of ILT in COVID-19 remain elusive. Herein, we present a series of ischemic stroke patients with carotid ILT in the setting of a recent SARS-CoV-2 infection.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:268 |
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| Enthalten in: |
Journal of neurology - 268(2021), 12 vom: 29. Dez., Seite 4443-4447 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Hamouda, Diaa [VerfasserIn] |
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| Links: |
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| Themen: |
Acute stroke |
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| Anmerkungen: |
Date Completed 04.11.2021 Date Revised 18.08.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s00415-021-10562-1 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM324673981 |
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| 520 | |a COVID-19 (Coronavirus disease 2019) caused by SARS-CoV-2 has a diverse constellation of neurological manifestations that include encephalopathy, stroke, Guillain-Barré syndrome, myelitis, and encephalitis. Intraluminal carotid thrombi (ILT) are infrequent lesions seen in only 1.6% of patients with acute ischemic stroke. Underlying atherosclerosis is the most common lesion associated with ILT formation. However, with COVID-19, we have encountered ILT in patients without significant atherosclerotic disease. The endothelial inflammation and hypercoagulable state associated with COVID-19 pose a risk of arterial and venous thromboembolism and could have contributed to this presentation although the exact pathophysiology and optimal treatment of ILT in COVID-19 remain elusive. Herein, we present a series of ischemic stroke patients with carotid ILT in the setting of a recent SARS-CoV-2 infection | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Acute stroke | |
| 650 | 4 | |a COVID-19 | |
| 650 | 4 | |a Carotid thrombus | |
| 650 | 4 | |a Intraluminal thrombus | |
| 650 | 4 | |a Ischemic stroke | |
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| 700 | 1 | |a Koneru, Sitara |e verfasserin |4 aut | |
| 700 | 1 | |a Frankel, Michael R |e verfasserin |4 aut | |
| 700 | 1 | |a Nogueira, Raul G |e verfasserin |4 aut | |
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