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COVID-19 associated intracranial vasculopathy–MRI vessel wall imaging as adjunct to emergent CT angiography—a case report
COVID-19 was initially described as a pulmonary disease. Increasing attention is now directed to extrapulmonary disease manifestations mediated by viral tropism to the vascular endothelium. Here, we report a case of an adult patient with COVID-19 who presented to the emergency department with neurol...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8149915/ https://www.ncbi.nlm.nih.gov/pubmed/34037875 http://dx.doi.org/10.1007/s10140-021-01948-9 |
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author | Raban, David Barhaghi, Krystle Timpone, Vincent Jones, William Sauer, Brian Pollard, Rebecca Callen, Andrew |
author_facet | Raban, David Barhaghi, Krystle Timpone, Vincent Jones, William Sauer, Brian Pollard, Rebecca Callen, Andrew |
author_sort | Raban, David |
collection | PubMed |
description | COVID-19 was initially described as a pulmonary disease. Increasing attention is now directed to extrapulmonary disease manifestations mediated by viral tropism to the vascular endothelium. Here, we report a case of an adult patient with COVID-19 who presented to the emergency department with neurological signs disproportionate to pulmonary symptoms and was found to have a subacute ischemic stroke. Imaging studies suggested an active inflammatory vasculopathy. The case highlights the utility of vascular wall imaging studies when positive findings are present on emergent CT angiography. Current treatment algorithms should consider the addition of adjunct intracranial vessel wall imaging to assess for inflammatory vasculopathy when a patient with acute or recent COVID infection presents to the emergency department with stroke. |
format | Online Article Text |
id | pubmed-8149915 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-81499152021-05-26 COVID-19 associated intracranial vasculopathy–MRI vessel wall imaging as adjunct to emergent CT angiography—a case report Raban, David Barhaghi, Krystle Timpone, Vincent Jones, William Sauer, Brian Pollard, Rebecca Callen, Andrew Emerg Radiol Case Report COVID-19 was initially described as a pulmonary disease. Increasing attention is now directed to extrapulmonary disease manifestations mediated by viral tropism to the vascular endothelium. Here, we report a case of an adult patient with COVID-19 who presented to the emergency department with neurological signs disproportionate to pulmonary symptoms and was found to have a subacute ischemic stroke. Imaging studies suggested an active inflammatory vasculopathy. The case highlights the utility of vascular wall imaging studies when positive findings are present on emergent CT angiography. Current treatment algorithms should consider the addition of adjunct intracranial vessel wall imaging to assess for inflammatory vasculopathy when a patient with acute or recent COVID infection presents to the emergency department with stroke. Springer International Publishing 2021-05-26 2021 /pmc/articles/PMC8149915/ /pubmed/34037875 http://dx.doi.org/10.1007/s10140-021-01948-9 Text en © American Society of Emergency Radiology 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Case Report Raban, David Barhaghi, Krystle Timpone, Vincent Jones, William Sauer, Brian Pollard, Rebecca Callen, Andrew COVID-19 associated intracranial vasculopathy–MRI vessel wall imaging as adjunct to emergent CT angiography—a case report |
title | COVID-19 associated intracranial vasculopathy–MRI vessel wall imaging as adjunct to emergent CT angiography—a case report |
title_full | COVID-19 associated intracranial vasculopathy–MRI vessel wall imaging as adjunct to emergent CT angiography—a case report |
title_fullStr | COVID-19 associated intracranial vasculopathy–MRI vessel wall imaging as adjunct to emergent CT angiography—a case report |
title_full_unstemmed | COVID-19 associated intracranial vasculopathy–MRI vessel wall imaging as adjunct to emergent CT angiography—a case report |
title_short | COVID-19 associated intracranial vasculopathy–MRI vessel wall imaging as adjunct to emergent CT angiography—a case report |
title_sort | covid-19 associated intracranial vasculopathy–mri vessel wall imaging as adjunct to emergent ct angiography—a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8149915/ https://www.ncbi.nlm.nih.gov/pubmed/34037875 http://dx.doi.org/10.1007/s10140-021-01948-9 |
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