Hemorrhagic infarctive stroke in COVID-19 patients: report of two cases and review of the literature

There is growing evidence in support of ischemic stroke as a manifestation of COVID-19 infection. However, hemorrhagic transformation of ischemic stroke is rare. We present two cases of hemorrhagic infarction as presenting features in COVID-19 patients who did not have traditional cardiovascular ris...

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Detalles Bibliográficos
Autores principales: Owolabi, Lukman Femi, Raafat, Ahmed, Enwere, Okezie Oguamanam, Mustapha, Adekunle F., Adamu, Bappa, AlGhamdi, Mushabab
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8108187/
https://www.ncbi.nlm.nih.gov/pubmed/34191990
http://dx.doi.org/10.1080/20009666.2021.1883814
Descripción
Sumario:There is growing evidence in support of ischemic stroke as a manifestation of COVID-19 infection. However, hemorrhagic transformation of ischemic stroke is rare. We present two cases of hemorrhagic infarction as presenting features in COVID-19 patients who did not have traditional cardiovascular risk factors for ischemic or hemorrhagic stroke. While the hemorrhagic infarct was from a large artery in one of the patients, the other patient had a small artery related hemorrhagic infarct. We highlighted the possible underlining mechanisms from the literature and the implication of hemorrhagic infarct for routine anticoagulant therapy in patients with COVID −19 related ischemic stroke.

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