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

Jin An Huang, Wen Hsien Chen, Nien Chen Liao, Chieh Liang Wu, Yun Ching Fu, Po Lin Chen*

*此作品的通信作者

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2 引文 斯高帕斯(Scopus)

摘要

Psychiatric and neurological complications of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection are common. Psychiatric symptoms are so common that they are easily misinterpreted as an affective disorder induced by SARSCoV-2 infection. However, psychiatric symptoms, such as acute delirium, though rarely seen, can be the initial manifestations of acute ischemic stroke (AIS). These psychiatric symptoms may confuse the diagnosis of acute stroke, which needs correct and timely management. 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.

原文English
頁(從 - 到)1605-1609
頁數5
期刊Journal of the Formosan Medical Association
121
發行號8
DOIs
出版狀態Published - 8月 2022

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