COVID19 Neuro Manifestations

[neglect]

Apparently COVID19 is associated with strokes in one paper. Acute Cerebrovascular Disease Following COVID-19: A Single Center, Retrospective, Observational Study by Yanan Li, Mengdie Wang, Yifan Zhou, Jiang Chang, Ying Xian, Ling Mao, Candong Hong, Shengcai Chen, Yong Wang, Hailing Wang, Man Li, Huijuan Jin, Bo Hu :: SSRN

tPA is being floated as a potential treatment for ARDS. Is There a Role for Tissue Plasminogen Activator (tPA) as a ... : Journal of Trauma and Acute Care Surgery

Obviously any old person with a fever will present with a change in MS. Anything else to prepare for (other than being repurposed as an intern)?

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[dodobirddh]

Some more published literature on COVID 19 and neurology manifestations in reputed journals...

large vessel stroke in Covid 19

Alteration of smell and taste in Covid 19

focal status epilepticus in Covid 19

Miller-Fisher syndrome in Covid 19

Spectrum of Neurological disease in Covid 19

 

[Telamir]

Alteration of smell and taste I couldn't care less about.

Stroke I guess I can see since they become hypercoagulable, however I've seen a good amount of patients with ARDS intubated on a heparin drip anyway.

Miller-Fisher syndrome or GBS or even hemorrhagic encephalitis can happen with other viruses/viral illnesses so hardly surprising and I don't think specific to COVID.

I have seen breakthrough seizures in epileptic patients as a presentation, and I guess focal status might be plausible. I honestly don't want to give other docs more reasons to consult us as it is.

 

[cerebral edema]

Anoxic encephalopathy is the most common thing I’ve seen thus far

 

[cerebral edema]

I honestly don't want to give other docs more reasons to consult us as it is.

Agreed!