Covid-19 With Cerebrovascular Manifestations: Review of Literature and Case Series

Abstract

Background: In year 2020, we are fighting with global threat of corona virus pandemic. It is more hazardous with its heterogeneous presentation involving all systems in body. Objective: As corona virus having properties to produce cerebrovascular diseases via causing hypercoaguable state and possible endothelial damage, it is necessary to look this facet of its virulence. Here, we are presenting review of literature and case series of three patients having covid stroke, two of which having ischemic stroke and one of them is having hemorrhagic stroke. Methods and Material: This study has been carried out at SVP hospital Ahmedabad which is designated covid care hospital in western India from March to august. With no proper etiopathogenesis established between covid-19 and stroke, this data is useful as obtained from dedicated covid hospital in western India with drainage area of approximately 6,00,00,000 population. Result: Mortality is higher in patients with cerebrovascular manifestation with hypercoagulability and thrombotic complications. Conclusion: Neurological examination must be given proper importance in apparently well covid-19 positive patients to reveal minute neurological clues. A centralized database needed to be established at national level. Once covid-19 can be established as direct causative agent, a term “covid stroke” must be given proper importance and guideline can be formed for treatment.