Hemorrhagic stroke and COVID-19 infection: Coincidence or causality?
eNeurologicalSci 2020;
21:100274. [PMID:
32954020 PMCID:
PMC7492182 DOI:
10.1016/j.ensci.2020.100274]
[Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Revised: 09/05/2020] [Accepted: 09/11/2020] [Indexed: 12/15/2022] Open
Abstract
Amyloid Protein Precursor gene duplication is a rare cause of early-onset Alzheimer's disease that can be associated with Cerebral Amyloid Angiopathy. This condition predisposes cerebrovascular events, specifically, intracerebral hemorrhagic stroke. This report describes a case of first-time intracerebral hemorrhage in a patient with APP gene duplication during SARS-CoV-2 infection, a typically pro-thrombotic and pro-inflammatory condition, as a possible trigger for this condition.
Stroke could be triggered by COVID-19 infection in high-risk patients.
Altered level of consciousness could be the first manifestation of COVID-19.
CT thorax scan must be considered during neuroimaging studies in stroke patients.
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