Cerebrovascular accidents indicative of COVID-19 infection: about 4 observations in Guinea

Abstract

Introduction Coronavirus is a virus with potential to target the nervous and respiratory systems. The aim of this work is to establish the prevalence of strokes in COVID19 positive patients in Guinea. Methods All patients with stroke confirmed by brain imaging and COVID-positive PCR were included in this study. Retrospective patient data were obtained from medical records. Informed consent was obtained. Results The RT-PCR confirmed the initial diagnosis and the chest CT scan provided a good diagnostic orientation. Brain imaging identified ischemic brain lesions. We report the case of four patients with stroke and a COVID-19 incidental finding in Guinea. Conclusion This work shows that the onset of ischemic stroke associated with COVID-19 is generally delayed, but can occur both early and late in the course of the disease. More attention is needed because the early symptoms of viral attack are not just pulmonary.

Stroke Associated with Covid-19 at the Yaoundé General Hospital, Cameroon: Series of 10 Cases

“…This can be explained by a longer life expectancy in these countries compared to ours. The predominance of the male sex is also found in several series of similar cases, reported in Paris [12] and Guinea-Conakry [13] in Africa, the male sex being a cardiovascular risk factor and this could explain the fact of finding more men in many studies.…”

Multimodality imaging of coronavirus disease 2019 (COVID-19): a pictorial essay

“…The supratentorial white matter, cerebellum, and brain stem may also be affected [15]. Cerebrovascular accident (stroke) has also been reported in patients with COVID-19 infection [16].…”

Immunotherapy for Recurrent orthostatic cerebral hypo-perfusion syndrome in recurrent COVID-19 infection

“…There is also evidence of involvement of other structures including neurological manifestations that have been reported by several authors. 2,3,4 However, among these neurological manifestations, disorders of the autonomic nervous system (ANS) with overactivity of the parasympathetic nervous system (PNS) on the sympathetic nervous system (SNS) have been very little reported. This disorder is commonly manifested by: dizziness; chronic fatigue, orthostatic vertigo, cerebral fog and neck pain.…”