Abstract
SARS-CoV-2, asıl olarak respiratuvar sistemde hastalık oluşturmakla birlikte nörolojik sistem dahil olmak üzere pek çok sistemi etkileyebilmektedir. COVID-19 seyri sırasında veya sonrasında %6’ya varan oranlarda hastalık ile ilişkili serebrovasküler olay (SVO) gelişebilmektedir ve bu duruma genellikle iskemi, nadiren hemoraji neden olmaktadır. Ancak SVO kliniği ile hastaneye başvurup COVID-19 tanısı alan vakalar literatürde nadir olarak bildirilmiştir. Bu olgu sunumu ile; kuvvet kaybı, bilinç bulanıklığı gibi nörolojik şikayetlerle hastaneye başvuran ve iskemik SVO saptanan hastalarda, respiratuvar semptomlar olmasa dahi COVID-19’un akla gelmesi ve literatüre katkıda bulunulması amaçlanmıştır. Bu sayede, COVID-19’un çok geniş bir yelpazede bulgu verebileceğini her zaman hatırlamak gerektiği ve respiratuvar semptomlar olmasa bile özellikle SVO kliniğindeki hastalarda COVID-19’dan şüphelenilmesinde fayda olduğu vurgulanmıştır.
Keywords
References
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- 6. Mao L, Jin H, Wang M, et al. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA neurology, 2020;77(6), 683-690.
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- 8. Sharifi-Razavi A, Karimi N, Rouhani N. COVID-19 and intracerebral haemorrhage: causative or coinci-dental?. New microbes and new infections, 2020;35, 100669.
- 9. Avula A, Nalleballe K, Narula N, et al. COVID-19 presenting as stroke. Brain, behavior, and immu-nity, 2020;87, 115-119.
- 10. Ari BC. Acute Ischemic Stroke Associated with COVID-19. J Coll Physicians Surg Pak, 2021;132-134.
- 11. Görgülü Ü, Şahin MH, Bektaş H. Covid-19 Enfeksiyonunda Akut İnme: Nöroloji Yoğun Bakım Deneyimi. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 2022;13(1), 111-118.
- 12. Nannoni S, de Groot R, Bell S, Markus HS. Stroke in COVID-19: a systematic review and meta-analysis. International Journal of Stroke, 2021;16(2), 137-149.
- 13. Çeviker SA, Kayta SBG, Şener A. Unutulmaması gereken hastalık: COVID 19 pnömonisine eşlik eden bir subakut tiroidit. Troia Medical Journal, 2021;2(1), 1-2.
Abstract
Although SARS-CoV-2 mainly causes disease in the respiratory system, it can affect many systems, including the neurological system. Disease-related cerebrovascular event may develop at a rate of up to 6% during or after the course of COVID-19, and this usually causes ischemia and rarely hemorrhage. However, cases who applied to the hospital with the clinic of cerebrovascular event and were diagnosed with COVID-19 have been rarely reported in the literature. With this case report; it is aimed to bring COVID-19 to mind and contribute to the literature in patients who are admitted to the hospital with neurological complaints such as loss of strength, blurred consciousness and who are diagnosed with ischemic SVO, even if there are no respiratory symptoms. In this way, it was emphasized that it should always be remembered that COVID-19 can present with a wide range of symptoms, and it is useful to suspect COVID-19, especially in patients in the cerebrovascular event clinic, even if there are no respiratory symptoms.
Keywords
References
- 1. Zhu N, Zhang D, Wang W, et al. A novel coronavirus from patients with pneumonia in China, 2019. New England journal of medicine 2020; 382:727-733.
- 2. World Health Organization (WHO) (2020). https://www.who.int/director-general/speeches/detail/who-director general-s-opening-remarks-at-the-media-briefing-on-covid-19-11-march-2020 (erişim tarihi 01.10.2022).
- 3. Urkmez FY, Kaya Kalem A. Solunum Dışı Sistem Etkilenmeleri. In: Buzgan T, Güner R (Eds). COVID-19 Pandemisi. Cham: Ankara Yıldırım Beyazıt Üniversitesi Tıp Fakültesi Dekanlığı, 2021, pp: 103-13.
- 4. Andersen KG, Rambaut A, Lipkin WI, Holmes EC, Garry RF. The proximal origin of SARS-CoV-2. Nature medicine, 2020;26(4), 450-452.
- 5. Liotta EM, Batra A, Clark JR, et al.Frequent neurologic manifestations and encephalopathy associated morbidity in Covid 19 patients. Annals of clinical and translational neurology, 2020;7(11), 2221-2230.
- 6. Mao L, Jin H, Wang M, et al. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA neurology, 2020;77(6), 683-690.
- 7. Helms J, Kremer S, Merdji H, et al. Neurologic features in severe SARS-CoV-2 infection. New England Journal of Medicine, 2020;382(23), 2268-2270.
- 8. Sharifi-Razavi A, Karimi N, Rouhani N. COVID-19 and intracerebral haemorrhage: causative or coinci-dental?. New microbes and new infections, 2020;35, 100669.
- 9. Avula A, Nalleballe K, Narula N, et al. COVID-19 presenting as stroke. Brain, behavior, and immu-nity, 2020;87, 115-119.
- 10. Ari BC. Acute Ischemic Stroke Associated with COVID-19. J Coll Physicians Surg Pak, 2021;132-134.
- 11. Görgülü Ü, Şahin MH, Bektaş H. Covid-19 Enfeksiyonunda Akut İnme: Nöroloji Yoğun Bakım Deneyimi. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 2022;13(1), 111-118.
- 12. Nannoni S, de Groot R, Bell S, Markus HS. Stroke in COVID-19: a systematic review and meta-analysis. International Journal of Stroke, 2021;16(2), 137-149.
- 13. Çeviker SA, Kayta SBG, Şener A. Unutulmaması gereken hastalık: COVID 19 pnömonisine eşlik eden bir subakut tiroidit. Troia Medical Journal, 2021;2(1), 1-2.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Publication Date | January 30, 2023 |
| Submission Date | November 2, 2022 |
| Published in Issue | Year 2023 Volume: 4 Issue: 1 |
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