tetano
Editor, Senior Moderator
J Stroke Cerebrovasc Dis
. 2020 Sep;29(9):105011.
doi: 10.1016/j.jstrokecerebrovasdis.2020.105011. Epub 2020 Jun 5.
Reversible cerebral vasoconstriction syndrome and dissection in the setting of COVID-19 infection
Katarina Dakay[SUP] 1 [/SUP], Gurmeen Kaur[SUP] 2 [/SUP], Edwin Gulko[SUP] 3 [/SUP], Justin Santarelli[SUP] 4 [/SUP], Christian Bowers[SUP] 5 [/SUP], Stephan A Mayer[SUP] 6 [/SUP], Chirag D Gandhi[SUP] 7 [/SUP], Fawaz Al-Mufti[SUP] 8 [/SUP]
Affiliations
Abstract
The current COVID-19 pandemic has recently brought to attention the myriad of neuro- logic sequelae associated with Coronavirus infection including the predilection for stroke, particularly in young patients. Reversible cerebral vasoconstriction syndrome (RCVS) is a well-described clinical syndrome leading to vasoconstriction in the intracra- nial vessels, and has been associated with convexity subarachnoid hemorrhage and oc- casionally cervical artery dissection. It is usually reported in the context of a trigger such as medications, recreational drugs, or the postpartum state; however, it has not been described in COVID-19 infection. We report a case of both cervical vertebral ar- tery dissection as well as convexity subarachnoid hemorrhage due to RCVS, in a pa- tient with COVID-19 infection and no other triggers.
Keywords: COVID-19; Convexity subarachnoid hemorrhage; Coronavirus,; Reversible cerebral vasoconstriction syndrome; Vertebral artery dissection.
. 2020 Sep;29(9):105011.
doi: 10.1016/j.jstrokecerebrovasdis.2020.105011. Epub 2020 Jun 5.
Reversible cerebral vasoconstriction syndrome and dissection in the setting of COVID-19 infection
Katarina Dakay[SUP] 1 [/SUP], Gurmeen Kaur[SUP] 2 [/SUP], Edwin Gulko[SUP] 3 [/SUP], Justin Santarelli[SUP] 4 [/SUP], Christian Bowers[SUP] 5 [/SUP], Stephan A Mayer[SUP] 6 [/SUP], Chirag D Gandhi[SUP] 7 [/SUP], Fawaz Al-Mufti[SUP] 8 [/SUP]
Affiliations
- PMID: 32807426
- DOI: 10.1016/j.jstrokecerebrovasdis.2020.105011
Abstract
The current COVID-19 pandemic has recently brought to attention the myriad of neuro- logic sequelae associated with Coronavirus infection including the predilection for stroke, particularly in young patients. Reversible cerebral vasoconstriction syndrome (RCVS) is a well-described clinical syndrome leading to vasoconstriction in the intracra- nial vessels, and has been associated with convexity subarachnoid hemorrhage and oc- casionally cervical artery dissection. It is usually reported in the context of a trigger such as medications, recreational drugs, or the postpartum state; however, it has not been described in COVID-19 infection. We report a case of both cervical vertebral ar- tery dissection as well as convexity subarachnoid hemorrhage due to RCVS, in a pa- tient with COVID-19 infection and no other triggers.
Keywords: COVID-19; Convexity subarachnoid hemorrhage; Coronavirus,; Reversible cerebral vasoconstriction syndrome; Vertebral artery dissection.