Acute delirium as an initial manifestation of COVID-19 patients with acute ischemic stroke: Report on two cases

We report two hospitalized cases with SARS-CoV-2 infection and elevated serum D-dimer levels having acute delirium as the initial manifestation of AIS. The diagnostic processes were challenging and time-consuming, so reperfusion therapy could not be given in the therapeutic time window. The diagnoses of AIS were finally made by brain magnetic resonance imaging which showed diffusion restriction at the right middle cerebral artery territory in both cases. Features of psychiatric complications and stroke in coronavirus disease 2019 (COVID-19) patients are reviewed. For the hospitalized COVID-19 patients with elevated levels of serum Ddimer and acute delirium, acute stroke with neuropsychiatric manifestations should beconsidered.PMID:35221145 | DOI:10.1016/j.jfma.2022.01.025

Source: J Formos Med Assoc - February 28, 2022 Category: General Medicine Authors: Jin-An Huang Wen-Hsien Chen Nien-Chen Liao Chieh Liang Wu Yun-Ching Fu Po-Lin Chen Source Type: research