Thursday, May 14, 2020

Coronavirus can also cause a stroke!


 Faculty of Health Sciences, Department of Neurology, Faculty Member and Vice President of BEYİNDER Assoc. Dr. Füsun pointing Mayda Domaç stroke is the third largest cause of death and disability in the world "Every year on the second Tuesday of May ' Stroke Awareness Day' has been set. On this occasion, we wanted to point out that the Covid-19 pandemic may also cause an increase in stroke cases. "

Assoc. Dr. Domaç made the following warnings: “In addition to the common symptoms such as fever, cough, sore throat, shortness of breath, and muscle pain, symptoms indicating neurological involvement such as headache, dizziness, changes in consciousness, paralysis or It was understood that it could begin.


Stroke can occur due to obstruction in brain vessels and brain bleeding. As a result of the fact that people with temporary vascular occlusion and mild stroke findings do not go to the hospital because of their concerns in social isolation and admission to the hospital, we do not know exactly the percentage of people who have had a stroke.


 In a study conducted in Italy, the rate of stroke due to cerebrovascular obstruction was 2.5 percent in patients with Covid-19. It was stated that it was seen mostly in patients at an advanced age and with a risk factor for stroke. But later in publications from different countries, it was observed that young people with Covid-19 infection developed a stroke even if there was no risk factor.


4he first symptom in young people may be direct paralysis
Domaç said that the obstruction and clot formation were seen in the cerebral vessels or large vessels such as the vein carrying blood to the brain is one of the most important reasons for the occlusion of an obstructive stroke:

        
During the inflammatory coronavirus infections occurring in the vessel wall (inflammatory) events are thought to increase the tendency to thrombus formation or improvement in vascular occlusion.


People with high disease severity have a 2.5-fold higher risk of developing cerebral vascular occlusion. Especially in patients with high parameters called D-dimer in the blood and people who need basic life support, it is thought that brain vascular diseases will accompany the current picture in the advanced phase of the disease.



 Therefore, it is important to give blood-thinning treatment in those with high D-Dimer level. However, in the case of presentations, it has also been seen that coronavirus infection may occur with stroke in young people who do not have classic signs of coronavirus disease, such as fever, cough, and shortness of breath.





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