COVID-19 Ischemic Strokes as an Emerging Rehabilitation Population: A Case Series.

American Journal of Physical Medicine & Rehabilitation
Nicole Diaz-SegarraPeter Yonclas

Abstract

There is emerging literature that coronavirus disease 2019 infections result in an increased incidence of thrombosis secondary to a prothrombotic state. Initial studies reported ischemic strokes primarily occurring in the critically ill coronavirus disease 2019 population. However, there have been reports of ischemic strokes as the presenting symptom in young noncritically ill coronavirus disease 2019 patients without significant risk factors. Further characterization of the coronavirus disease 2019 stroke population is needed. We present four cases of coronavirus disease 2019 ischemic strokes occurring in patients aged 37-68 yrs with varying coronavirus disease 2019 infection severities, premorbid risk factors, clinical presentations (eg, focal and nonfocal), and vascular distributions. These cases highlight the heterogeneity of coronavirus disease 2019 ischemic strokes. The duration of the coronavirus disease 2019-related prothrombotic state is unknown, and it is unclear whether patients are at risk for recurrent strokes. With more coronavirus disease 2019 patients recovering and being discharged to rehabilitation, physiatric awareness of this prothrombotic state and increased incidence of ischemic strokes is essential. Becau...Continue Reading

References

Oct 27, 2004·Journal of Neurology·T UmapathiSze Peng Brenda Ang
Apr 16, 2020·The New England Journal of Medicine·Julie HelmsFerhat Meziani
Apr 21, 2020·Journal of the American College of Cardiology·Behnood BikdeliUNKNOWN Global COVID-19 Thrombosis Collaborative Group, Endorsed by the ISTH, NATF, ESVM, and the IUA, Supported by the ESC Working
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May 31, 2020·The Lancet. Respiratory Medicine·Sharon E FoxRichard S Vander Heide

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Citations

Sep 2, 2020·European Journal of Physical and Rehabilitation Medicine·Francesco NegriniUNKNOWN International Multiprofessional Steering Committee of Cochrane Rehabilitation REH-COVER action
Dec 1, 2020·Frontiers in Neurology·Pedro FraimanMarialuisa Zedde
Feb 4, 2021·Aging and Disease·Fangfang ZhaoYumin Luo
Jan 10, 2021·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Theodoros LadopoulosChristos Krogias
Mar 17, 2021·Current Psychiatry Reports·Zev M NakamuraDonald L Rosenstein
Aug 20, 2021·Frontiers in Aging Neuroscience·Brianne N Sullivan, Tracy Fischer

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Methods Mentioned

BETA
sedation
dissections
dissection

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