Post-COVID isolated subclavian artery dissection with multiple cerebral infarctions.

Autor: Alloush TK; Department of Neurology and Psychiatry, Faculty of Medicine, Ain Shams University, Cairo, Egypt., Alloush AT; Department of Geriatrics and Gerontology, Faculty of Medicine, Ain Shams University, Cairo, Egypt., Marzouk F; Departement of Vascular Surgery, The Good Shepherd, Italian and alHaya Hospitals, Cairo, Egypt., Abdulghani KO; Department of Neurology and Psychiatry, Helwan University School of Medicine, Cairo, Egypt., Shokri HM; Department of Neurology and Psychiatry, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Jazyk: angličtina
Zdroj: The Egyptian journal of neurology, psychiatry and neurosurgery [Egypt J Neurol Psychiatr Neurosurg] 2022; Vol. 58 (1), pp. 114. Date of Electronic Publication: 2022 Oct 01.
DOI: 10.1186/s41983-022-00549-8
Abstrakt: Background: Coronavirus disease 2019 (COVID-19) is a pandemic disease which predominantly affects the respiratory system with high critical care mortality and morbidity, yet it also causes multiple organs dysfunction in affected patients. There is a strong evidence that it increases the susceptibility of cerebrovascular strokes in such patients. Besides this prothrombotic complication, arterial dissection can be one of its mechanisms increasing the risks of stroke.
Case Presentation: Herein, we report a case of spontaneous isolated subclavian artery dissection in a COVID-19 patient. Sixty-one-year-old female presented with spontaneous isolated subclavian artery dissection without any traumatic events nor history of connective tissue disorders. She had left upper limb ischemia followed by cerebellar, thalamic and occipital infarctions. Whether this patient's subclavian artery dissection was triggered by exaggerated inflammatory response or arteriopathy secondary to COVID-19 remains speculative.
Conclusions: Nonetheless, arterial dissection can be one of its complications, it is essential for treating physicians to be attentive for the diversity of COVID-19 clinical manifestations.
Competing Interests: Competing interestsThe authors declare that they have no competing interests.
(© The Author(s) 2022.)
Databáze: MEDLINE
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