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Initial Stroke Thrombectomy Experience in New York City during the COVID-19 Pandemic INTERVENTIONAL
We report the early incidence of COVID-19 positivity in patients with emergent large-vessel occlusion and demonstrate that thrombectomy continues to be an efficacious option, as well as safe for health care providers.
Source: American Journal of Neuroradiology - August 11, 2020 Category: Radiology Authors: Yaeger, K. A., Fifi, J. T., Lara-Reyna, J., Rossitto, C., Ladner, T., Yim, B., Hardigan, T., Maragkos, G. A., Shigematsu, T., Majidi, S., Mocco, J. Tags: INTERVENTIONAL Source Type: research

COVID-19 Is an Independent Risk Factor for Acute Ischemic Stroke ADULT BRAIN
CONCLUSIONS: We demonstrated that COVID-19 infection is significantly associated with imaging confirmation of acute ischemic stroke, and patients with COVID-19 should undergo more aggressive monitoring for stroke.
Source: American Journal of Neuroradiology - August 11, 2020 Category: Radiology Authors: Belani, P., Schefflein, J., Kihira, S., Rigney, B., Delman, B. N., Mahmoudi, K., Mocco, J., Majidi, S., Yeckley, J., Aggarwal, A., Lefton, D., Doshi, A. H. Tags: ADULT BRAIN Source Type: research

Neurologic Involvement in COVID-19: Cause or Coincidence? A Neuroimaging Perspective ADULT BRAIN
SUMMARY: The rapid spread of the coronavirus disease 2019 (COVID-19) pandemic has shaken hospitals worldwide. Some authors suggest that neurologic involvement could further complicate the disease. This descriptive study is a cross-sectional review of 103 patients diagnosed with COVID-19 who underwent neuroimaging (of a total of 2249 patients with COVID-19 in our center). Analyzed variables were neurologic symptoms and acute imaging findings. The most frequent symptoms that motivated neuroimaging examinations were mild nonfocal neurologic symptoms, code stroke (refers to patients presenting with signs and symptoms of stroke...
Source: American Journal of Neuroradiology - August 11, 2020 Category: Radiology Authors: Pons-Escoda, A., Naval-Baudin, P., Majos, C., Camins, A., Cardona, P., Cos, M., Calvo, N. Tags: ADULT BRAIN Source Type: research

COVID-19 Neurologic Complication with CNS Vasculitis-Like Pattern ADULT BRAIN
We report a unique neurologic complication of COVID-19 in a patient who had extensive cerebral small-vessel ischemic lesions resembling cerebral vasculitis in a characteristic combined imaging pattern of ischemia, hemorrhage, and punctuate postcontrast enhancement. Also, a characteristic lower extremity skin rash was present in our patient. Our observation lends support to the increasingly suspected mechanism of "endotheliitis" associated with this novel coronavirus.
Source: American Journal of Neuroradiology - August 11, 2020 Category: Radiology Authors: Hanafi, R., Roger, P.- A., Perin, B., Kuchcinski, G., Deleval, N., Dallery, F., Michel, D., Hacein-Bey, L., Pruvo, J.- P., Outteryck, O., Constans, J.- M. Tags: ADULT BRAIN Source Type: research

Preserving Access: A Review of Stroke Thrombectomy during the COVID-19 Pandemic INTERVENTIONAL
SUMMARY: Thrombectomy for large-vessel-occlusion stroke is a highly impactful treatment. The spread of coronavirus 19 (COVID-19) across the United States and the globe impacts access to this crucial intervention through widespread societal and institutional changes. In this document, we review the implications of COVID-19 on the emergency care of large-vessel occlusion stroke, reviewing specific infection-control recommendations, available literature, existing resources, and expert consensus. As a population, patients with large-vessel occlusion stroke face unique challenges during pandemics. These are broad in scope. Resp...
Source: American Journal of Neuroradiology - July 12, 2020 Category: Radiology Authors: Leslie-Mazwi, T. M., Fargen, K. M., Levitt, M., Derdeyn, C. P., Feske, S. K., Patel, A. B., Hirsch, J. A. Tags: INTERVENTIONAL Source Type: research

CT Scanning in Suspected Stroke or Head Trauma: Is it Worth Going the Extra Mile and Including the Chest to Screen for COVID-19 Infection? ADULT BRAIN
CONCLUSIONS: The sensitivity of additional chest CT is fairly high. However, a negative result does not exclude COVID-19. The positive predictive value is poor. Correlation of chest CT results with epidemiologic history and clinical presentation, along with real-time reverse transcriptase polymerase chain reaction, is needed for confirmation.
Source: American Journal of Neuroradiology - July 12, 2020 Category: Radiology Authors: Kwee, R. M., Krdzalic, J., Fasen, B. A. C. M., de Jaegere, T. M. H., for the COVID-19 CT Investigators South-East Netherlands (CISEN) Study Group Tags: ADULT BRAIN Source Type: research

Cerebrovascular Disease in COVID-19 ADULT BRAIN
We report a case of COVID-19 with acute ischemic stroke. To our knowledge, this is the first reported case of COVID-19-related cerebral infarcts that includes brain imaging at multiple time points and CT angiography. There is a growing body of published evidence that complications of COVID-19 are not limited to the pulmonary system. Neuroradiologists should be aware of a wide range of neurologic manifestations, including cerebrovascular disease.
Source: American Journal of Neuroradiology - July 12, 2020 Category: Radiology Authors: Goldberg, M. F., Goldberg, M. F., Cerejo, R., Tayal, A. H. Tags: ADULT BRAIN Source Type: research

Surprise Diagnosis of COVID-19 following Neuroimaging Evaluation for Unrelated Reasons during the Pandemic in Hot Spots ADULT BRAIN
We report such a scenario in 17 patients who were admitted and investigated with CT spine imaging and CT angiography for nonpulmonary reasons (trauma = 13, stroke = 4). Their initial work-up did not suggest COVID-19 as a diagnosis but showed unsuspected/incidental lung findings, which led to further investigations and a diagnosis of COVID-19.
Source: American Journal of Neuroradiology - July 12, 2020 Category: Radiology Authors: Jain, R., Young, M., Dogra, S., Kennedy, H., Nguyen, V., Raz, E. Tags: ADULT BRAIN Source Type: research

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