Imperial College London
Alternate

ProfessorRolandVeltkamp

Faculty of Medicine, Department of Brain Sciences

Professor of Neurology and Chair of Stroke Medicine
 
 
 
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Contact

 

r.veltkamp

 
 
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Location

 

3 East6East WingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Veltkamp:2021:10.1007/s00115-021-01104-1,
author = {Veltkamp, R and Purrucker, JC and Weber, R},
doi = {10.1007/s00115-021-01104-1},
journal = {Der Nervenarzt: Monatsschrift fuer alle Gebiete nervenaerztlicher Forschung und Praxis},
pages = {531--539},
title = {Neurovascular manifestations of COVID-19},
url = {http://dx.doi.org/10.1007/s00115-021-01104-1},
volume = {92},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Even early at the beginning of the coronavirus disease 2019 (COVID19) pandemic, stroke was described as a manifestation or complication of infections with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Current meta-analyses reported a stroke rate of approximately 1.5%. Stroke in COVID19 positive patients occurs more frequently in severe courses of the infection and in older patients with cardiovascular comorbidities; however, young patients without cardiovascular risk factors are also not uncommonly affected. The mechanisms of stroke are predominantly embolic. The thrombi frequently occlude large intracranial vessels and in more than 20% affect multiple vascular territories, whereas infarctions due to small vessel disease are uncommon. The exact source of the embolism remains cryptogenic in more than 40% of patients. The mortality caused by the co-occurrence of a SARS-CoV2 infection and a stroke exceeds 15–30%. While acute stroke treatment was severely affected in some European regions, the rates of recanalization treatment in Germany largely remained stable during the first pandemic wave; however, 20–30% fewer patients with minor stroke and transient ischemic attacks (TIA) presented to hospitals during the first wave in spring 2020. The present narrative review summarizes the current evidence regarding the epidemiology and pathogenesis of stroke associated with COVID19 and describes the effect of the pandemic so far on the provision of acute stroke treatment.
AU  - Veltkamp,R
AU  - Purrucker,JC
AU  - Weber,R
DO  - 10.1007/s00115-021-01104-1
EP  - 539
PY  - 2021///
SN  - 0028-2804
SP  - 531
TI  - Neurovascular manifestations of COVID-19
T2  - Der Nervenarzt: Monatsschrift fuer alle Gebiete nervenaerztlicher Forschung und Praxis
UR  - http://dx.doi.org/10.1007/s00115-021-01104-1
UR  - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000632275000001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=a2bf6146997ec60c407a63945d4e92bb
UR  - https://link.springer.com/article/10.1007/s00115-021-01104-1
UR  - http://hdl.handle.net/10044/1/101763
VL  - 92
ER  -
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