Cerebral venous thrombosis in covid-19: A new york metropolitan cohort study

F. Al-Mufti, K. Amuluru, R. Sahni, K. Bekelis, R. Karimi, J. Ogulnick, J. Cooper, P. Overby, R. Nuoman, A. Tiwari, K. Berekashvili, N. Dangayach, J. Liang, G. Gupta, P. Khandelwal, J. F. Dominguez, T. Sursal, H. Kamal, K. Dakay, B. TaylorE. Gulko, M. El-Ghanem, S. A. Mayer, C. Gandhi

Research output: Contribution to journalArticlepeer-review

43 Scopus citations

Abstract

BACKGROUND AND PURPOSE: Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) infection is associated with hypercoagulability. We sought to evaluate the demographic and clinical characteristics of cerebral venous thrombosis among patients hospitalized for coronavirus disease 2019 (COVID-19) at 6 tertiary care centers in the New York City metropolitan area. MATERIALS AND METHODS: We conducted a retrospective multicenter cohort study of 13,500 consecutive patients with COVID-19 who were hospitalized between March 1 and May 30, 2020. RESULTS: Of 13,500 patients with COVID-19, twelve had imaging-proved cerebral venous thrombosis with an incidence of 8.8 per 10,000 during 3 months, which is considerably higher than the reported incidence of cerebral venous thrombosis in the general population of 5 per million annually. There was a male preponderance (8 men, 4 women) and an average age of 49 years (95% CI, 36-62 years; range, 17-95 years). Only 1 patient (8%) had a history of thromboembolic disease. Neurologic symptoms secondary to cerebral venous thrombosis occurred within 24 hours of the onset of the respiratory and constitutional symptoms in 58% of cases, and 75% had venous infarction, hemorrhage, or both on brain imaging. Management consisted of anticoagulation, endovascular thrombectomy, and surgical hematoma evacuation. The mortality rate was 25%. CONCLUSIONS: Early evidence suggests a higher-than-expected frequency of cerebral venous thrombosis among patients hospitalized for COVID-19. Cerebral venous thrombosis should be included in the differential diagnosis of neurologic syndromes associated with SARS-CoV-2 infection.

Original languageEnglish
Pages (from-to)1196-1200
Number of pages5
JournalAmerican Journal of Neuroradiology
Volume42
Issue number7
DOIs
StatePublished - 1 Jul 2021

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