scholarly journals Acute Ischemic Stroke in COVID-19 Patient with Lung Collapse: A Case Report

2021 ◽  
pp. 1-5
Author(s):  
Mahpara Nawazish ◽  
Sana Iqbal ◽  
Mujeeb Ur Rehman Abid Butt
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Rna Virus ◽  
Altered State ◽  
Lung Collapse ◽  
Case Presentation ◽  
Uncommon Presentation ◽  
Altered State Of Consciousness ◽  
Coronavirus Infection

Novel corona virus 2019 also known as severe acute respiratory syndrome coronavirus 2 [SARS COV2] is enveloped non segmented ribonucleic acid (RNA) virus. Acute ischemic stroke remains emergency during covid19 pandemic [1] Here we present a case of a woman with COVID 19 who presented to us with symptoms of altered state of consciousness (ASOC), cough, fever, dysarthria, right sided body weakness and massive bilateral middle cerebral artery (MCA)/ anterior. Our case was unique in the sense that it showed drastic central nervous system (CNS) damage in the presence of coronavirus infection. There are a few cases of patients who develop stroke after COVID 19 infection. Aims: Clinicians need to be aware of possible causes of unconsciousness in coronavirus disease (COVID 19) patients, particularly as delirium appears to be common complications to find out the association between stroke and COVID 19 and its impact and mortality. Case Presentation: A 70 years old lady presented to us with symptoms of stroke like ASOC, right sided body weakness, dysarthria, and symptoms of pneumonia like mild cough and fever later which turned out to be COVID 19. Clinicians need to be aware of possible causes of unconsciousness in coronavirus disease (COVID 19) patients, particularly as delirium appears to be common complications to find out the association between stroke and COVID 19 and its impact and mortality. Discussion: Bilateral ischemic stroke is relatively uncommon presentation in general population and is usually the result of cardio embolic cause such as atrial fibrillation and recent myocardial infarction. While this patient had pre existing risk factors for stroke such as type 2 diabetes mellitus, hypertension and old age and her electrocardiography showed sinus rhythm. Conclusion: COVID-19 may be a risk factor or aggravating factor for stroke.

scholarly journals The impact of COVID-19 on ischemic stroke: A case report

2020 ◽  
Author(s):  
Pan Zhai ◽  
Yanbing Ding ◽  
Yiming Li
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Limb Weakness ◽  
Case Presentation ◽  
Inflammatory Drugs ◽  
Polymerase Chain ◽  
Excessive Secretion ◽  
Novel Coronavirus ◽  
The Impact ◽  
Fluent Language

Abstract BackgroundThe outbreak of a novel coronavirus since December 2019 in Wuhan, became an emergency of major international concern. As of March 5, 2020, the SARS-CoV-2 epidemic has caused 80,565 confirmed infections with 3,015 fatal cases in China. The SARS-CoV-2 outbreak is a major challenge for clinicians. In our clinic, we found a rare case that a COVID-19 patient combined with ischemic stroke.Case PresentationA 79-year-old man was admitted to the Hubei Provincial Hospital of Chinese Traditional Medicine due to right limb weakness for 1 day and slight cough for 1 week. At presentation, his body temperature was 37.3°C (99.0°F) with some moist rales. Neurological examination showed right limb weakness, and the limb muscle strength was grade 4. The left leg and arms were unaffected. In addition, runs of speech were not fluent enough with tongue deviation. Laboratory studies showed lymphopenia and eosinophilic granulocytopenia. Chest CT revealed bilateral pulmonary parenchymal ground-glass and consolidative pulmonary opacities, with a peripheral lung distribution. Real-time polymerase chain reaction (RT-PCR) from throat swab sample was positive for SARS-CoV-2 nucleic acid. This patient was treated with antiviral drugs and anti-inflammatory drugs with supportive care until his discharge. Clopidogrel (75 mg) and atorvastatin (20 mg) were administered orally to treat acute ischemic stroke. After twelve days of treatment, he can walk normally and communicate with near fluent language.ConclusionWe report an even more unusual case, a patient who was hospitalized for right limb weakness and was later diagnosed with COVID-19. Here, SARS-CoV-2 infection caused hypoxemia and excessive secretion of inflammatory cytokines, which contribute to the occurrence and development of ischemic stroke. Once COVID-19 patients show acute ischemic stroke, neurologists should cooperate with infectious disease doctors to help patients.

Type 2 Diabetes Mellitus Is Not Associated with the Incidence or the Outcome of Pneumonia in Patients with Acute Ischemic Stroke

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 459-P
Author(s):  
MARIANTHI PAPAGIANNI ◽  
KONSTANTINOS TZIOMALOS ◽  
STAVROULA KOSTAKI ◽  
STELLA-MARIA ANGELOPOULOU ◽  
KONSTANTINOS CHRISTOU ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Ischemic Stroke ◽  
Acute Ischemic Stroke

Impact of Metformin on the Severity and Outcomes of Acute Ischemic Stroke in Patients with Type 2 Diabetes Mellitus

2016 ◽  
Vol 25 (2) ◽  
pp. 436-446 ◽  
Author(s):  
Yohei Mima ◽  
Takahiro Kuwashiro ◽  
Masahiro Yasaka ◽  
Yuichiro Tsurusaki ◽  
Asako Nakamura ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Ischemic Stroke ◽  
Acute Ischemic Stroke

scholarly journals Wall-Eyed Bilateral Internuclear Ophthalmoplegia Caused by Unilateral Subpontine Infarction: A Case Report

2021 ◽  
Author(s):  
Jun Wang ◽  
Chuan Yu ◽  
Yiyun Jiang ◽  
Xiang Li ◽  
Yiyi Fang
Keyword(s):  
Ischemic Stroke ◽  
Case Report ◽  
Acute Ischemic Stroke ◽  
Rare Case ◽  
Rare Disorder ◽  
Internuclear Ophthalmoplegia ◽  
Case Presentation

Abstract Background： Wall-eyed bilateral internuclear ophthalmoplegia syndrome (WEBINO) is a rare disorder comprising bilateral exotropia, bilateral internuclear ophthalmoplegia, and impaired convergence. It is usually caused by a midbrain lesion. Case presentation ：We describe a rare case of WEBINO, with the lesion located in the lower pons, in a 69-year-old man with acute ischemic stroke. Conclusions ：Our report alerts physicians to the possibility of bilateral WEBINO due to unilateral infarction.

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