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Characteristics of Acute Stroke in Patients with Coronavirus Disease 2019 and Challenges in Stroke Management during an Epidemic

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Author(s)
Doo Hyuk KwonYoungrok DoMi-Yeon EunJun LeeHyungjong ParkSung-Il SohnJeong-Ho Hong
Keimyung Author(s)
Park, Hyung JongSohn, Sung IlHong, Jeong Ho
Department
Dept. of Neurology (신경과학)
Journal Title
Journal of Korean Medical Science
Issued Date
2020
Volume
35
Issue
35
Keyword
Ischemic StrokeCoronavirus DiseaseKoreaStroke ManagementD-dimer
Abstract
Coronavirus disease 2019 (COVID-19) is an ongoing pandemic infection associated with high morbidity and mortality. The Korean city of Daegu endured the first large COVID-19 outbreak outside of China. Since the report of the first confirmed case in Daegu on February 18, 2020, a total of 6,880 patients have been reported until May 29, 2020. We experienced five patients with ischemic stroke and COVID-19 during this period in four tertiary hospitals in Daegu. The D-dimer levels were high in all three patients in whom D-dimer blood testing was performed. Multiple embolic infarctions were observed in three patients and suspected in one. The mean time from stroke symptom onset to emergency room arrival was 22 hours. As a result, acute treatment for ischemic stroke was delayed. The present case series report raises the possibility that the coronavirus responsible for COVID-19 causes or worsens stroke, perhaps by inducing inflammation. The control of COVID-19 is very important; however, early and proper management of stroke should not be neglected during the epidemic.
Keimyung Author(s)(Kor)
박형종
손성일
홍정호
Publisher
School of Medicine (의과대학)
Citation
Doo Hyuk Kwon et al. (2020). Characteristics of Acute Stroke in Patients with Coronavirus Disease 2019 and Challenges in Stroke Management during an Epidemic. Journal of Korean Medical Science, 35(35), e324. doi: 10.3346/jkms.2020.35.e324
Type
Article
ISSN
1598-6357
Source
https://jkms.org/search.php?where=aview&id=10.3346/jkms.2020.35.e324&code=0063JKMS&vmode=FULL
DOI
10.3346/jkms.2020.35.e324
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42859
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
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