Hemorrhagic stroke and anticoagulation in COVID-19

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
Siddhant DograJeffrey S Berger

Abstract

Patients with the Coronavirus Disease of 2019 (COVID-19) are at increased risk for thrombotic events and mortality. Various anticoagulation regimens are now being considered for these patients. Anticoagulation is known to increase the risk for adverse bleeding events, of which intracranial hemorrhage (ICH) is one of the most feared. We present a retrospective study of 33 patients positive for COVID-19 with neuroimaging-documented ICH and examine anticoagulation use in this population. Patients over the age of 18 with confirmed COVID-19 and radiographic evidence of ICH were included in this study. Evidence of hemorrhage was confirmed and categorized by a fellowship trained neuroradiologist. Electronic health records were analyzed for patient information including demographic data, medical history, hospital course, laboratory values, and medications. We identified 33 COVID-19 positive patients with ICH, mean age 61.6 years (range 37-83 years), 21.2% of whom were female. Parenchymal hemorrhages with mass effect and herniation occurred in 5 (15.2%) patients, with a 100% mortality rate. Of the remaining 28 patients with ICH, 7 (25%) had punctate hemorrhages, 17 (60.7%) had small- moderate size hemorrhages, and 4 (14.3%) had a large ...Continue Reading

Citations

Oct 6, 2020·Curēus·Kartikeya RajdevMeilinh Thi
Aug 28, 2020·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Alexandru BurlacuRadu Crisan-Dabija
Sep 25, 2020·Journal of Thrombosis and Thrombolysis·Kara R MelmedJennifer A Frontera
Aug 26, 2020·Arteriosclerosis, Thrombosis, and Vascular Biology·Jeffrey S BergerLeora I Horwitz
Jun 13, 2020·AJNR. American Journal of Neuroradiology·R Jain
Jun 20, 2020·AJNR. American Journal of Neuroradiology·N K WeeT C C Lim
Oct 22, 2020·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Reza Naeimi, Maryam Ghasemi-Kasman
Nov 1, 2020·Current Neurology and Neuroscience Reports·Afshin A DivaniM Reza Azarpazhooh
Oct 27, 2020·International Journal of Stroke : Official Journal of the International Stroke Society·Stefania NannoniHugh S Markus
Oct 30, 2020·Journal of Neurotrauma·Steven T DeKoskyRonald L Hayes
Dec 1, 2020·Frontiers in Neurology·Pedro FraimanMarialuisa Zedde
Aug 2, 2020·Clinical Neurology and Neurosurgery·David J AltschulNeil Haranhalli
Dec 2, 2020·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Felix NwajeiAnna M Cervantes-Arslanian
Nov 2, 2020·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Alice MaThanh N Nguyen
Feb 3, 2021·Physiological Reports·Raphaël GiraudKarim Bendjelid
Feb 4, 2021·Journal of Cerebral Blood Flow and Metabolism : Official Journal of the International Society of Cerebral Blood Flow and Metabolism·Visesha KakarlaJason D Hinman
Feb 2, 2021·Brain, Behavior, & Immunity Health·Ala HaqiqiAlice Elizabeth Myers
Nov 17, 2020·Frontiers in Aging Neuroscience·Valentin PavlovGjumrakch Aliev
Jan 24, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Sanskriti MishraQingliang T Wang
Oct 23, 2020·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·T T FavasAbhishek Pathak
Nov 4, 2020·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Isaac CheruiyotJulius A Ogeng'o
Feb 9, 2021·Frontiers in Medicine·Ya Liu, Hai-Gang Zhang
Oct 28, 2020·SN Comprehensive Clinical Medicine·Jose Manuel Gutierrez AmezcuaDavid Zagzag
Feb 4, 2021·Aging and Disease·Fangfang ZhaoYumin Luo
Feb 2, 2021·Journal of the American College of Emergency Physicians Open·Roberta Marina Ferreira de OliveiraArise Garcia de Siqueira Galil
Mar 9, 2021·JAMA Neurology·Michael SilvermanMichal Krawczyk
Feb 27, 2021·Journal of the Neurological Sciences·Rajesh BennyKishore V Shetty
Jan 10, 2021·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Theodoros LadopoulosChristos Krogias
Feb 17, 2021·Critical Care Medicine·Craig M CoopersmithDaniel De Backer
Mar 27, 2021·Journal of the American College of Surgeons·Jonathan P MeizosoErnest E Moore
Jan 14, 2021·Korean journal of anesthesiology·Klaus GörlingerKhaled Ahmed Yassen
Apr 3, 2021·Stroke; a Journal of Cerebral Circulation·Maithili Sashindranath, Harshal H Nandurkar
Apr 6, 2021·Current Treatment Options in Neurology·Daniella C Sisniega, Alexandra S Reynolds
Apr 27, 2021·Neurologic Clinics·Julie G ShulmanAnna M Cervantes-Arslanian
Nov 24, 2020·Brain Hemorrhages·Xiaoming QiJason H Huang
Jun 5, 2021·Stroke; a Journal of Cerebral Circulation·Audrey C LeasureKevin N Sheth
Jun 16, 2021·World Neurosurgery·Rafael Martinez-PerezMarcus A Zachariah

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