Здравоохранение Кыргызстана
Zdravoohraneniye Kyrgyzstana
ISSN 1694-8068 (Print)
ISSN 1694-805X (Online)

Патофизиологические и клинические аспекты ишемического инсульта при COVID-19 (обзор литературы)

Патофизиологические и клинические аспекты ишемического инсульта при COVID-19 (обзор литературы)
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Аннотация

Возникновение инсульта у пациентов с инфекцией COVID-19 встречается относительно редко, но является важным прогностическим маркером и показателем тяжести. Этот краткий обзор предполагает, что ишемический инсульт может возникнуть на ранней стадии заболевания, а также может поражать пациентов в более молодых возрастных группах без сопутствующих заболеваний, вызывая окклюзию крупных сосудов и проявляя тромбовоспалительную нейровизуализационную картину сосудов. Механизмы, лежащие в основе развития инсульта у пациентов с COVID-19, могут быть связаны как с обычными факторами повышенного риска инсульта, традиционно имеющими место у пациентов без COVID-19, так и с развитием коагулопатии, индуцированной инфекцией на фоне системной воспалительной реакции, характерной для коронавирусной инфекции.

Об авторах

Мамытова Элмира Миталиповна, д.м.н., доцент, заведующая кафедрой неврологии и клинической генетики им. акад. А.М. Мурзалиева, Кыргызской Государственной Медицинской Академии имени И.К.Ахунбаева, Бишкек, Кыргызская Республика ;
Убарик кызы Жылдыз, аспирант кафедры неврологии и клинической генетики им. акад. А.М. Мурзалиева, Кыргызской Государственной Медицинской Академии имени И.К.Ахунбаева, Бишкек, Кыргызская Республика.

Mamytova Elmira Mitalipovna, Doctor of Medicine, Associate Professor, Head of the Department of Neurology and Clinical Genetics named after Akad. A.M. Murzalieva, Kyrgyz State Medical Academy named after I.K. Akhunbaev, Bishkek, Kyrgyz Republic;
Ubarik Kyzy Zhyldyz, graduate student of the Department of Neurology and Clinical Genetics named after Akad. A.M. Murzaliyev, Kyrgyz State Medical Academy named after I.K. Akhunbaev, Bishkek, Kyrgyz Republic.

Мамытова Эльмира Миталиповна, медицина илимдеринин доктору, доцент, акад.  А.М. Мурзалиев атындагы неврология жана клиникалык генетика кафедрасынын башчысы, И.К. Ахунбаев атындагы Кыргыз мамлекеттик медициналык академиясы., Бишкек, Кыргыз Республикасы;

Убарик кызы Жылдыз, акад. А.М. Мурзалиев атындагы неврология жана клиникалык генетика кафедрасынын аспиранты, И.К. Ахунбаев атындагы Кыргыз мамлекеттик медициналык академиясы, Бишкек, Кыргыз Республикасы.

Список литературы

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16. Tiwari A , Berekashvili K , Vulkanov V , et al . Etiologic subtypes of ischemic stroke in SARS-CoV-2 patients in a cohort of New York City hospitals. FrontNeurol 2020;11:1004. doi:10.3389/fneur.2020.01004 pmid:http:// www.ncbi.nlm.nih. gov/ pubmed/33041972 PubMedGoogle Scholar
17. Trifan G , Goldenberg FD , Caprio FZ , et al . Characteristics of a diverse cohort of stroke patients with SARS-CoV-2 and out come by sex. J Stroke Cerebrovasc Dis 2020;29:105314. doi:10.1016/j.jstrokecerebrovasdis.2020.105314 pmid:http:// www. ncbi.nlm.nih.gov/pubmed/32951959 PubMedGoogle Scholar
18. Helms J , Tacquard C , Severac F , et al . High risk of thrombosis in patients with severe SARS-CoV-2 infection: a multicenter prospective cohort study. Intensive Care Med 2020;46:1089–98.doi:10.1007/s00134-020-06062-x pmid:http:// www.ncbi. nlm.nih.gov/pubmed/32367170 CrossRefPubMedGoogle Scholar

19. Yaghi S , Ishida K , Torres J , et al . SARS-CoV-2 and stroke in a New York healthcare system. Stroke 2020;51:2002–11. doi:10.1161/STROKEAHA.120.030335 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32432996 CrossRefPubMedGoogle Scholar
20. Lee KW, Yusof Khan AHK, Ching SM, Chia PK, Loh WC, Abdul Rashid AM, Baharin J, Inche Mat LN, Wan Sulaiman WA, Devaraj NK, Sivaratnam D, Basri H and Hoo FK (2020) Stroke and Novel Coronavirus Infection in Humans: A Systematic Review and Meta-Analysis. Front. Neurol. 11:579070. doi: 10.3389/fneur.2020.579070
21. Avula A, Nalleballe K, Narula N, Sapozhnikov S, Dandu V, Toom S, et al. COVID-19 presenting as stroke. Brain Behav Immun.(2020) 87:115–9. doi: 10.1016/j.bbi.2020.04.077 PubMed Abstract | CrossRef Full Text | Google Scholar
22. Fara MG, Stein LK, Skliut M, Morgello S, Fifi JT, Dhamoon MS. Macrothrombosis and stroke in patients with mild Covid-19 infection. J Thrombosis Haemostasis. (2020). doi: 10.1111/jth.14938 PubMed Abstract | CrossRef Full Text | Google Scholar
23. Mao L, Jin H, Wang M, Hu Y, Chen S, He Q, et al. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurol. (2020) 77:683–90. doi: 10.1001/jamaneurol.2020.1127 PubMed Abstract | CrossRef Full Text | Google Scholar
24. González-Pinto T, Luna-Rodríguez A, Moreno-Estébanez A, Agirre-Beitia G, Rodríguez-Antigüedad A, Ruiz-Lopez M. Emergen cy room neurology in times of COVID-19: malignant ischaemic stroke and SARS-CoV-2 infection. Eur J Neurol. (2020) 27:e35–6. doi: 10.1111/ene.14286 PubMed Abstract | CrossRef Full Text | Google Scholar
25. Moshayedi P, Ryan TE, Mejia LLP, Nour M, Liebeskind DS. Triage of acute ischemic stroke in confirmed COVID-19: largevessel occlusion associated with coronavirus infection. Front Neurol. (2020) 11:353. doi: 10.3389/fneur.2020.00353 PubMed Abstract | CrossRef Full Text | Google Scholar
26. Gunasekaran K, Amoah K, Rajasurya V, Buscher MG. Stroke in a young COVID-19 patient. QJM. (2020) 113:573–4. doi:10.1093/qjmed/hcaa177 PubMed Abstract | CrossRef Full Text | Google Scholar
27. Merkler AE, Parikh NS, Mir S, Gupta A, Kamel H, Lin E, Lantos J, Schenck EJ, Goyal P, Bruce SS, Kahan J, Lansdale KN, Le Moss NM, Murthy SB, Stieg PE, Fink ME, Iadecola C, Segal AZ, Cusick M, Campion TR Jr, Diaz I, Zhang C, Navi BB. Risk of Ischemic Stroke in Patients With Coronavirus Disease 2019 (COVID-19) vs Patients With Influenza. JAMA Neurol. 2020 Jul 2; 77(11):1–7. doi: 10.1001/jamaneurol.2020.2730. Epub ahead of print. PMID: 32614385; PMCID: PMC7333175.
28. Zhang Y, Xiao M, Zhang S, et al. . Coagulopathy and antiphospholipid antibodies in patients with COVID-19. N Engl J Med. 2020;382(17):e38. doi:10.1056/NEJMc2007575 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
29. Klok FA, Kruip MJHA, van der Meer NJM, et al. . Incidence of thrombotic complications in critically ill ICU patients with COVID-19. Thromb Res. 2020;191(191):145-147. doi:10.1016/j.thromres.2020.04.013 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

1. Oficialnii sait Ministerstva zdravoochranenia Kyrgyzskoi Respubliki. http://med.kg/ru/1
2. Oficialnii sait BBC. https://www.bbc.com/russian/news-51706538.
3. Ghannam M., Alshaer Q., Al-Chalabi M., Zakarna L., Robertson J., Manousakis G. Neurological involvement of coronavirus disease 2019: a systematic. Review. 2020 [PMC free article] [PubMed] [Google Scholar]
4. Sharifi-Razavi A, Karimi N, Rouhani N. COVID-19 and intracerebral haemorrhage: causative or coincidental? N Microb New Infections. (2020) 35:100669. doi: 10.1016/j.nmni.2020.100669 CrossRef Full Text | Google Scholar
5. Zakeri A, Jadhav AP, Sullenger BA, et al Ischemic stroke in COVID-19-positive patients: an overview of SARS-CoV-2 and thrombotic mechanisms for the neurointerventionalist Journal of NeuroInterventional Surgery 2021;13:202-206.
6. Kihira S, Schefflein J, Mahmoudi K , et al. Association of coronavirus disease (COVID-19) with large vessel occlusion strokes: acase-control study. AJR Am J Roentgenol 2020:1–6.doi:10.2214/AJR.20.23847 pmid: http:// www.ncbi. nlm.nih.gov/ pubmed/32755225 Google Scholar
7. Sharma M, Lioutas V-A , Madsen T , et al . Decline in stroke alerts and hospitalisations during the COVID-19 pandemic. Stroke Vasc Neurol 2020. doi:doi:10.1136/svn-2020-000441. [Epub ahead of print: 27 Aug 2020]. pmid: http://www. ncbi.nlm.nih. gov/pubmed/32855352 Google Scholar
8. Mao L , Jin H , Wang M , et al . Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurol 2020;77:683. doi:10.1001/jamaneurol.2020.1127 Google Scholar
9. Beyrouti R , Adams ME , Benjamin L , et al . Characteristics of ischaemic stroke associated with COVID-19. J Neurol Neurosurg Psychiatry 2020;91:889–91.doi:10.1136/jnnp-2020-23586 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32354768 FREE Full Text Google Scholar
10. Sweid A , Hammoud B , Weinberg JH , et al . Letter: thrombotic neurovascular disease in COVID-19 patients.Neurosurgery2020;87:E400–6.doi:10.1093/neuros/nyaa254 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32496534 PubMedGoogle Scholar
11. Hess DC , Eldahshan W , Rutkowski E . COVID-19-related stroke. Transl Stroke Res 2020;11:322–5.doi:10.1007/s12975-02000818 -9 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32378030 CrossRefPubMedGoogle Scholar
12. Bekelis K , Missios S , Ahmad J , et al . Ischemic stroke occurs less frequently in patients with COVID-19: a multicenter crosssectional study. Stroke 2020;51:STROKEAHA120031217. doi:10.1161/STROKEAHA.120.031217 pmid:http:// www.ncbi. nlm.nih. gov/pubmed/33106109 PubMedGoogle Scholar
13. de Havenon A , Yaghi S , Mistry EA , et al . Endovascular thrombectomy in acute ischemic stroke patients with COVID-19: prevalence, demographics, and outcomes. J Neurointerv Surg 2020;12:1045–8.doi:10.1136/neurintsurg-2020-016777 pmid: http://www. ncbi.nlm.nih.gov/pubmed/32989032 Abstract/FREE Full TextGoogle Scholar
14. Grewal P , Pinna P , Hall JP , et al . Acute ischemic stroke and COVID-19: experience from a comprehensive stroke center in Midwest us. Front Neurol 2020;11:910. doi:10.3389/fneur.2020.00910 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32973666 PubMedGoogle Scholar
15. Ntaios G , Michel P , Georgiopoulos G , et al . Characteristics and outcomes in patients with COVID-19 and acute ischemic stroke: the Global COVID-19 Stroke Registry. Stroke 2020;51:e254–8.doi:10.1161/STROKEAHA.120.031208 pmid:http:// www.ncbi.nlm.nih.gov/pubmed/32787707 PubMedGoogle Scholar
16. Tiwari A , Berekashvili K , Vulkanov V , et al . Etiologic subtypes of ischemic stroke in SARS-CoV-2 patients in a cohort of New York City hospitals. FrontNeurol 2020;11:1004. doi:10.3389/fneur.2020.01004 pmid:http:// www.ncbi.nlm.nih. gov/ pubmed/33041972 PubMedGoogle Scholar
17. Trifan G , Goldenberg FD , Caprio FZ , et al . Characteristics of a diverse cohort of stroke patients with SARS-CoV-2 and out come by sex. J Stroke Cerebrovasc Dis 2020;29:105314. doi:10.1016/j.jstrokecerebrovasdis.2020.105314 pmid:http:// www. ncbi.nlm.nih.gov/pubmed/32951959 PubMedGoogle Scholar
18. Helms J , Tacquard C , Severac F , et al . High risk of thrombosis in patients with severe SARS-CoV-2 infection: a multicenter prospective cohort study. Intensive Care Med 2020;46:1089–98.doi:10.1007/s00134-020-06062-x pmid:http:// www.ncbi. nlm.nih.gov/pubmed/32367170 CrossRefPubMedGoogle Scholar

19. Yaghi S , Ishida K , Torres J , et al . SARS-CoV-2 and stroke in a New York healthcare system. Stroke 2020;51:2002–11. doi:10.1161/STROKEAHA.120.030335 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32432996 CrossRefPubMedGoogle Scholar
20. Lee KW, Yusof Khan AHK, Ching SM, Chia PK, Loh WC, Abdul Rashid AM, Baharin J, Inche Mat LN, Wan Sulaiman WA, Devaraj NK, Sivaratnam D, Basri H and Hoo FK (2020) Stroke and Novel Coronavirus Infection in Humans: A Systematic Review and Meta-Analysis. Front. Neurol. 11:579070. doi: 10.3389/fneur.2020.579070
21. Avula A, Nalleballe K, Narula N, Sapozhnikov S, Dandu V, Toom S, et al. COVID-19 presenting as stroke. Brain Behav Immun.(2020) 87:115–9. doi: 10.1016/j.bbi.2020.04.077 PubMed Abstract | CrossRef Full Text | Google Scholar
22. Fara MG, Stein LK, Skliut M, Morgello S, Fifi JT, Dhamoon MS. Macrothrombosis and stroke in patients with mild Covid-19 infection. J Thrombosis Haemostasis. (2020). doi: 10.1111/jth.14938 PubMed Abstract | CrossRef Full Text | Google Scholar
23. Mao L, Jin H, Wang M, Hu Y, Chen S, He Q, et al. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurol. (2020) 77:683–90. doi: 10.1001/jamaneurol.2020.1127 PubMed Abstract | CrossRef Full Text | Google Scholar
24. González-Pinto T, Luna-Rodríguez A, Moreno-Estébanez A, Agirre-Beitia G, Rodríguez-Antigüedad A, Ruiz-Lopez M. Emergen cy room neurology in times of COVID-19: malignant ischaemic stroke and SARS-CoV-2 infection. Eur J Neurol. (2020) 27:e35–6. doi: 10.1111/ene.14286 PubMed Abstract | CrossRef Full Text | Google Scholar
25. Moshayedi P, Ryan TE, Mejia LLP, Nour M, Liebeskind DS. Triage of acute ischemic stroke in confirmed COVID-19: largevessel occlusion associated with coronavirus infection. Front Neurol. (2020) 11:353. doi: 10.3389/fneur.2020.00353 PubMed Abstract | CrossRef Full Text | Google Scholar
26. Gunasekaran K, Amoah K, Rajasurya V, Buscher MG. Stroke in a young COVID-19 patient. QJM. (2020) 113:573–4. doi:10.1093/qjmed/hcaa177 PubMed Abstract | CrossRef Full Text | Google Scholar
27. Merkler AE, Parikh NS, Mir S, Gupta A, Kamel H, Lin E, Lantos J, Schenck EJ, Goyal P, Bruce SS, Kahan J, Lansdale KN, Le Moss NM, Murthy SB, Stieg PE, Fink ME, Iadecola C, Segal AZ, Cusick M, Campion TR Jr, Diaz I, Zhang C, Navi BB. Risk of Ischemic Stroke in Patients With Coronavirus Disease 2019 (COVID-19) vs Patients With Influenza. JAMA Neurol. 2020 Jul 2; 77(11):1–7. doi: 10.1001/jamaneurol.2020.2730. Epub ahead of print. PMID: 32614385; PMCID: PMC7333175.
28. Zhang Y, Xiao M, Zhang S, et al. . Coagulopathy and antiphospholipid antibodies in patients with COVID-19. N Engl J Med. 2020;382(17):e38. doi:10.1056/NEJMc2007575 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
29. Klok FA, Kruip MJHA, van der Meer NJM, et al. . Incidence of thrombotic complications in critically ill ICU patients with COVID-19. Thromb Res. 2020;191(191):145-147. doi:10.1016/j.thromres.2020.04.013 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

1. Oficialnii sait Ministerstva zdravoochranenia Kyrgyzskoi Respubliki. http://med.kg/ru/1
2. Oficialnii sait BBC. https://www.bbc.com/russian/news-51706538.
3. Ghannam M., Alshaer Q., Al-Chalabi M., Zakarna L., Robertson J., Manousakis G. Neurological involvement of coronavirus disease 2019: a systematic. Review. 2020 [PMC free article] [PubMed] [Google Scholar]
4. Sharifi-Razavi A, Karimi N, Rouhani N. COVID-19 and intracerebral haemorrhage: causative or coincidental? N Microb New Infections. (2020) 35:100669. doi: 10.1016/j.nmni.2020.100669 CrossRef Full Text | Google Scholar
5. Zakeri A, Jadhav AP, Sullenger BA, et al Ischemic stroke in COVID-19-positive patients: an overview of SARS-CoV-2 and thrombotic mechanisms for the neurointerventionalist Journal of NeuroInterventional Surgery 2021;13:202-206.
6. Kihira S, Schefflein J, Mahmoudi K , et al. Association of coronavirus disease (COVID-19) with large vessel occlusion strokes: acase-control study. AJR Am J Roentgenol 2020:1–6.doi:10.2214/AJR.20.23847 pmid: http:// www.ncbi. nlm.nih.gov/ pubmed/32755225 Google Scholar
7. Sharma M, Lioutas V-A , Madsen T , et al . Decline in stroke alerts and hospitalisations during the COVID-19 pandemic. Stroke Vasc Neurol 2020. doi:doi:10.1136/svn-2020-000441. [Epub ahead of print: 27 Aug 2020]. pmid: http://www. ncbi.nlm.nih. gov/pubmed/32855352 Google Scholar
8. Mao L , Jin H , Wang M , et al . Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurol 2020;77:683. doi:10.1001/jamaneurol.2020.1127 Google Scholar
9. Beyrouti R , Adams ME , Benjamin L , et al . Characteristics of ischaemic stroke associated with COVID-19. J Neurol Neurosurg Psychiatry 2020;91:889–91.doi:10.1136/jnnp-2020-23586 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32354768 FREE Full Text Google Scholar
10. Sweid A , Hammoud B , Weinberg JH , et al . Letter: thrombotic neurovascular disease in COVID-19 patients.Neurosurgery2020;87:E400–6.doi:10.1093/neuros/nyaa254 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32496534 PubMedGoogle Scholar
11. Hess DC , Eldahshan W , Rutkowski E . COVID-19-related stroke. Transl Stroke Res 2020;11:322–5.doi:10.1007/s12975-02000818 -9 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32378030 CrossRefPubMedGoogle Scholar
12. Bekelis K , Missios S , Ahmad J , et al . Ischemic stroke occurs less frequently in patients with COVID-19: a multicenter crosssectional study. Stroke 2020;51:STROKEAHA120031217. doi:10.1161/STROKEAHA.120.031217 pmid:http:// www.ncbi. nlm.nih. gov/pubmed/33106109 PubMedGoogle Scholar
13. de Havenon A , Yaghi S , Mistry EA , et al . Endovascular thrombectomy in acute ischemic stroke patients with COVID-19: prevalence, demographics, and outcomes. J Neurointerv Surg 2020;12:1045–8.doi:10.1136/neurintsurg-2020-016777 pmid: http://www. ncbi.nlm.nih.gov/pubmed/32989032 Abstract/FREE Full TextGoogle Scholar
14. Grewal P , Pinna P , Hall JP , et al . Acute ischemic stroke and COVID-19: experience from a comprehensive stroke center in Midwest us. Front Neurol 2020;11:910. doi:10.3389/fneur.2020.00910 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32973666 PubMedGoogle Scholar
15. Ntaios G , Michel P , Georgiopoulos G , et al . Characteristics and outcomes in patients with COVID-19 and acute ischemic stroke: the Global COVID-19 Stroke Registry. Stroke 2020;51:e254–8.doi:10.1161/STROKEAHA.120.031208 pmid:http:// www.ncbi.nlm.nih.gov/pubmed/32787707 PubMedGoogle Scholar
16. Tiwari A , Berekashvili K , Vulkanov V , et al . Etiologic subtypes of ischemic stroke in SARS-CoV-2 patients in a cohort of New York City hospitals. FrontNeurol 2020;11:1004. doi:10.3389/fneur.2020.01004 pmid:http:// www.ncbi.nlm.nih. gov/ pubmed/33041972 PubMedGoogle Scholar
17. Trifan G , Goldenberg FD , Caprio FZ , et al . Characteristics of a diverse cohort of stroke patients with SARS-CoV-2 and out come by sex. J Stroke Cerebrovasc Dis 2020;29:105314. doi:10.1016/j.jstrokecerebrovasdis.2020.105314 pmid:http:// www. ncbi.nlm.nih.gov/pubmed/32951959 PubMedGoogle Scholar
18. Helms J , Tacquard C , Severac F , et al . High risk of thrombosis in patients with severe SARS-CoV-2 infection: a multicenter prospective cohort study. Intensive Care Med 2020;46:1089–98.doi:10.1007/s00134-020-06062-x pmid:http:// www.ncbi. nlm.nih.gov/pubmed/32367170 CrossRefPubMedGoogle Scholar

19. Yaghi S , Ishida K , Torres J , et al . SARS-CoV-2 and stroke in a New York healthcare system. Stroke 2020;51:2002–11. doi:10.1161/STROKEAHA.120.030335 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32432996 CrossRefPubMedGoogle Scholar
20. Lee KW, Yusof Khan AHK, Ching SM, Chia PK, Loh WC, Abdul Rashid AM, Baharin J, Inche Mat LN, Wan Sulaiman WA, Devaraj NK, Sivaratnam D, Basri H and Hoo FK (2020) Stroke and Novel Coronavirus Infection in Humans: A Systematic Review and Meta-Analysis. Front. Neurol. 11:579070. doi: 10.3389/fneur.2020.579070
21. Avula A, Nalleballe K, Narula N, Sapozhnikov S, Dandu V, Toom S, et al. COVID-19 presenting as stroke. Brain Behav Immun.(2020) 87:115–9. doi: 10.1016/j.bbi.2020.04.077 PubMed Abstract | CrossRef Full Text | Google Scholar
22. Fara MG, Stein LK, Skliut M, Morgello S, Fifi JT, Dhamoon MS. Macrothrombosis and stroke in patients with mild Covid-19 infection. J Thrombosis Haemostasis. (2020). doi: 10.1111/jth.14938 PubMed Abstract | CrossRef Full Text | Google Scholar
23. Mao L, Jin H, Wang M, Hu Y, Chen S, He Q, et al. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurol. (2020) 77:683–90. doi: 10.1001/jamaneurol.2020.1127 PubMed Abstract | CrossRef Full Text | Google Scholar
24. González-Pinto T, Luna-Rodríguez A, Moreno-Estébanez A, Agirre-Beitia G, Rodríguez-Antigüedad A, Ruiz-Lopez M. Emergen cy room neurology in times of COVID-19: malignant ischaemic stroke and SARS-CoV-2 infection. Eur J Neurol. (2020) 27:e35–6. doi: 10.1111/ene.14286 PubMed Abstract | CrossRef Full Text | Google Scholar
25. Moshayedi P, Ryan TE, Mejia LLP, Nour M, Liebeskind DS. Triage of acute ischemic stroke in confirmed COVID-19: largevessel occlusion associated with coronavirus infection. Front Neurol. (2020) 11:353. doi: 10.3389/fneur.2020.00353 PubMed Abstract | CrossRef Full Text | Google Scholar
26. Gunasekaran K, Amoah K, Rajasurya V, Buscher MG. Stroke in a young COVID-19 patient. QJM. (2020) 113:573–4. doi:10.1093/qjmed/hcaa177 PubMed Abstract | CrossRef Full Text | Google Scholar
27. Merkler AE, Parikh NS, Mir S, Gupta A, Kamel H, Lin E, Lantos J, Schenck EJ, Goyal P, Bruce SS, Kahan J, Lansdale KN, Le Moss NM, Murthy SB, Stieg PE, Fink ME, Iadecola C, Segal AZ, Cusick M, Campion TR Jr, Diaz I, Zhang C, Navi BB. Risk of Ischemic Stroke in Patients With Coronavirus Disease 2019 (COVID-19) vs Patients With Influenza. JAMA Neurol. 2020 Jul 2; 77(11):1–7. doi: 10.1001/jamaneurol.2020.2730. Epub ahead of print. PMID: 32614385; PMCID: PMC7333175.
28. Zhang Y, Xiao M, Zhang S, et al. . Coagulopathy and antiphospholipid antibodies in patients with COVID-19. N Engl J Med. 2020;382(17):e38. doi:10.1056/NEJMc2007575 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
29. Klok FA, Kruip MJHA, van der Meer NJM, et al. . Incidence of thrombotic complications in critically ill ICU patients with COVID-19. Thromb Res. 2020;191(191):145-147. doi:10.1016/j.thromres.2020.04.013 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Для цитирования

Мамытова Э.М., Убарик к. Ж. Патофизиологические и клинические аспекты ишемического инсульта при COVID-19 (обзор литературы). Здравоохранение Кыргызстана 2022,№1, с. 143-148. 

https://dx.doi.org/10.51350/zdravkg20223121143

For citation

Mamytova E.M.,Ubariк k. Zh.Pathophysiological and clincal aspects of ischemic stroke in COVID-19 (literature review). Health care of Kyrgyzstan 2022, No. 1, pp. 143-148. 
https://dx.doi.org/10.51350/zdravkg20223121143

Цитата үчүн

Мамытова Э.М., Убарик к. Ж. COVID-19 оорусунун фонунда ишемиялык инсульттун патофизиологиялык
жана клиникалык аспектилери (адабий сереп). Кыргызстандын саламаттык сактоо 2022,№1, с. 143-148. 

https://dx.doi.org/10.51350/zdravkg20223121143

Авторы Мамытова Э.М., Убарик к. Ж.
Ссылка doi.org https://dx.doi.org/10.51350/zdravkg20223121143
Страницы 143-148
Ключевые слова COVID-19, ишемический инсульт, патофизиологические, клинические аспекты
Русский
Об авторах

Мамытова Элмира Миталиповна, д.м.н., доцент, заведующая кафедрой неврологии и клинической генетики им. акад. А.М. Мурзалиева, Кыргызской Государственной Медицинской Академии имени И.К.Ахунбаева, Бишкек, Кыргызская Республика ;
Убарик кызы Жылдыз, аспирант кафедры неврологии и клинической генетики им. акад. А.М. Мурзалиева, Кыргызской Государственной Медицинской Академии имени И.К.Ахунбаева, Бишкек, Кыргызская Республика.

Полный текст

PDF (RUS)

Список литературы

1. Oficialnii sait Ministerstva zdravoochranenia Kyrgyzskoi Respubliki. http://med.kg/ru/1
2. Oficialnii sait BBC. https://www.bbc.com/russian/news-51706538.
3. Ghannam M., Alshaer Q., Al-Chalabi M., Zakarna L., Robertson J., Manousakis G. Neurological involvement of coronavirus disease 2019: a systematic. Review. 2020 [PMC free article] [PubMed] [Google Scholar]
4. Sharifi-Razavi A, Karimi N, Rouhani N. COVID-19 and intracerebral haemorrhage: causative or coincidental? N Microb New Infections. (2020) 35:100669. doi: 10.1016/j.nmni.2020.100669 CrossRef Full Text | Google Scholar
5. Zakeri A, Jadhav AP, Sullenger BA, et al Ischemic stroke in COVID-19-positive patients: an overview of SARS-CoV-2 and thrombotic mechanisms for the neurointerventionalist Journal of NeuroInterventional Surgery 2021;13:202-206.
6. Kihira S, Schefflein J, Mahmoudi K , et al. Association of coronavirus disease (COVID-19) with large vessel occlusion strokes: acase-control study. AJR Am J Roentgenol 2020:1–6.doi:10.2214/AJR.20.23847 pmid: http:// www.ncbi. nlm.nih.gov/ pubmed/32755225 Google Scholar
7. Sharma M, Lioutas V-A , Madsen T , et al . Decline in stroke alerts and hospitalisations during the COVID-19 pandemic. Stroke Vasc Neurol 2020. doi:doi:10.1136/svn-2020-000441. [Epub ahead of print: 27 Aug 2020]. pmid: http://www. ncbi.nlm.nih. gov/pubmed/32855352 Google Scholar
8. Mao L , Jin H , Wang M , et al . Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurol 2020;77:683. doi:10.1001/jamaneurol.2020.1127 Google Scholar
9. Beyrouti R , Adams ME , Benjamin L , et al . Characteristics of ischaemic stroke associated with COVID-19. J Neurol Neurosurg Psychiatry 2020;91:889–91.doi:10.1136/jnnp-2020-23586 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32354768 FREE Full Text Google Scholar
10. Sweid A , Hammoud B , Weinberg JH , et al . Letter: thrombotic neurovascular disease in COVID-19 patients.Neurosurgery2020;87:E400–6.doi:10.1093/neuros/nyaa254 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32496534 PubMedGoogle Scholar
11. Hess DC , Eldahshan W , Rutkowski E . COVID-19-related stroke. Transl Stroke Res 2020;11:322–5.doi:10.1007/s12975-02000818 -9 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32378030 CrossRefPubMedGoogle Scholar
12. Bekelis K , Missios S , Ahmad J , et al . Ischemic stroke occurs less frequently in patients with COVID-19: a multicenter crosssectional study. Stroke 2020;51:STROKEAHA120031217. doi:10.1161/STROKEAHA.120.031217 pmid:http:// www.ncbi. nlm.nih. gov/pubmed/33106109 PubMedGoogle Scholar
13. de Havenon A , Yaghi S , Mistry EA , et al . Endovascular thrombectomy in acute ischemic stroke patients with COVID-19: prevalence, demographics, and outcomes. J Neurointerv Surg 2020;12:1045–8.doi:10.1136/neurintsurg-2020-016777 pmid: http://www. ncbi.nlm.nih.gov/pubmed/32989032 Abstract/FREE Full TextGoogle Scholar
14. Grewal P , Pinna P , Hall JP , et al . Acute ischemic stroke and COVID-19: experience from a comprehensive stroke center in Midwest us. Front Neurol 2020;11:910. doi:10.3389/fneur.2020.00910 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32973666 PubMedGoogle Scholar
15. Ntaios G , Michel P , Georgiopoulos G , et al . Characteristics and outcomes in patients with COVID-19 and acute ischemic stroke: the Global COVID-19 Stroke Registry. Stroke 2020;51:e254–8.doi:10.1161/STROKEAHA.120.031208 pmid:http:// www.ncbi.nlm.nih.gov/pubmed/32787707 PubMedGoogle Scholar
16. Tiwari A , Berekashvili K , Vulkanov V , et al . Etiologic subtypes of ischemic stroke in SARS-CoV-2 patients in a cohort of New York City hospitals. FrontNeurol 2020;11:1004. doi:10.3389/fneur.2020.01004 pmid:http:// www.ncbi.nlm.nih. gov/ pubmed/33041972 PubMedGoogle Scholar
17. Trifan G , Goldenberg FD , Caprio FZ , et al . Characteristics of a diverse cohort of stroke patients with SARS-CoV-2 and out come by sex. J Stroke Cerebrovasc Dis 2020;29:105314. doi:10.1016/j.jstrokecerebrovasdis.2020.105314 pmid:http:// www. ncbi.nlm.nih.gov/pubmed/32951959 PubMedGoogle Scholar
18. Helms J , Tacquard C , Severac F , et al . High risk of thrombosis in patients with severe SARS-CoV-2 infection: a multicenter prospective cohort study. Intensive Care Med 2020;46:1089–98.doi:10.1007/s00134-020-06062-x pmid:http:// www.ncbi. nlm.nih.gov/pubmed/32367170 CrossRefPubMedGoogle Scholar

19. Yaghi S , Ishida K , Torres J , et al . SARS-CoV-2 and stroke in a New York healthcare system. Stroke 2020;51:2002–11. doi:10.1161/STROKEAHA.120.030335 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32432996 CrossRefPubMedGoogle Scholar
20. Lee KW, Yusof Khan AHK, Ching SM, Chia PK, Loh WC, Abdul Rashid AM, Baharin J, Inche Mat LN, Wan Sulaiman WA, Devaraj NK, Sivaratnam D, Basri H and Hoo FK (2020) Stroke and Novel Coronavirus Infection in Humans: A Systematic Review and Meta-Analysis. Front. Neurol. 11:579070. doi: 10.3389/fneur.2020.579070
21. Avula A, Nalleballe K, Narula N, Sapozhnikov S, Dandu V, Toom S, et al. COVID-19 presenting as stroke. Brain Behav Immun.(2020) 87:115–9. doi: 10.1016/j.bbi.2020.04.077 PubMed Abstract | CrossRef Full Text | Google Scholar
22. Fara MG, Stein LK, Skliut M, Morgello S, Fifi JT, Dhamoon MS. Macrothrombosis and stroke in patients with mild Covid-19 infection. J Thrombosis Haemostasis. (2020). doi: 10.1111/jth.14938 PubMed Abstract | CrossRef Full Text | Google Scholar
23. Mao L, Jin H, Wang M, Hu Y, Chen S, He Q, et al. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurol. (2020) 77:683–90. doi: 10.1001/jamaneurol.2020.1127 PubMed Abstract | CrossRef Full Text | Google Scholar
24. González-Pinto T, Luna-Rodríguez A, Moreno-Estébanez A, Agirre-Beitia G, Rodríguez-Antigüedad A, Ruiz-Lopez M. Emergen cy room neurology in times of COVID-19: malignant ischaemic stroke and SARS-CoV-2 infection. Eur J Neurol. (2020) 27:e35–6. doi: 10.1111/ene.14286 PubMed Abstract | CrossRef Full Text | Google Scholar
25. Moshayedi P, Ryan TE, Mejia LLP, Nour M, Liebeskind DS. Triage of acute ischemic stroke in confirmed COVID-19: largevessel occlusion associated with coronavirus infection. Front Neurol. (2020) 11:353. doi: 10.3389/fneur.2020.00353 PubMed Abstract | CrossRef Full Text | Google Scholar
26. Gunasekaran K, Amoah K, Rajasurya V, Buscher MG. Stroke in a young COVID-19 patient. QJM. (2020) 113:573–4. doi:10.1093/qjmed/hcaa177 PubMed Abstract | CrossRef Full Text | Google Scholar
27. Merkler AE, Parikh NS, Mir S, Gupta A, Kamel H, Lin E, Lantos J, Schenck EJ, Goyal P, Bruce SS, Kahan J, Lansdale KN, Le Moss NM, Murthy SB, Stieg PE, Fink ME, Iadecola C, Segal AZ, Cusick M, Campion TR Jr, Diaz I, Zhang C, Navi BB. Risk of Ischemic Stroke in Patients With Coronavirus Disease 2019 (COVID-19) vs Patients With Influenza. JAMA Neurol. 2020 Jul 2; 77(11):1–7. doi: 10.1001/jamaneurol.2020.2730. Epub ahead of print. PMID: 32614385; PMCID: PMC7333175.
28. Zhang Y, Xiao M, Zhang S, et al. . Coagulopathy and antiphospholipid antibodies in patients with COVID-19. N Engl J Med. 2020;382(17):e38. doi:10.1056/NEJMc2007575 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
29. Klok FA, Kruip MJHA, van der Meer NJM, et al. . Incidence of thrombotic complications in critically ill ICU patients with COVID-19. Thromb Res. 2020;191(191):145-147. doi:10.1016/j.thromres.2020.04.013 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Для цитирования

Мамытова Э.М., Убарик к. Ж. Патофизиологические и клинические аспекты ишемического инсульта при COVID-19 (обзор литературы). Здравоохранение Кыргызстана 2022,№1, с. 143-148. 

https://dx.doi.org/10.51350/zdravkg20223121143

Английский
About authors

Mamytova Elmira Mitalipovna, Doctor of Medicine, Associate Professor, Head of the Department of Neurology and Clinical Genetics named after Akad. A.M. Murzalieva, Kyrgyz State Medical Academy named after I.K. Akhunbaev, Bishkek, Kyrgyz Republic;
Ubarik Kyzy Zhyldyz, graduate student of the Department of Neurology and Clinical Genetics named after Akad. A.M. Murzaliyev, Kyrgyz State Medical Academy named after I.K. Akhunbaev, Bishkek, Kyrgyz Republic.

Full text

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References

1. Oficialnii sait Ministerstva zdravoochranenia Kyrgyzskoi Respubliki. http://med.kg/ru/1
2. Oficialnii sait BBC. https://www.bbc.com/russian/news-51706538.
3. Ghannam M., Alshaer Q., Al-Chalabi M., Zakarna L., Robertson J., Manousakis G. Neurological involvement of coronavirus disease 2019: a systematic. Review. 2020 [PMC free article] [PubMed] [Google Scholar]
4. Sharifi-Razavi A, Karimi N, Rouhani N. COVID-19 and intracerebral haemorrhage: causative or coincidental? N Microb New Infections. (2020) 35:100669. doi: 10.1016/j.nmni.2020.100669 CrossRef Full Text | Google Scholar
5. Zakeri A, Jadhav AP, Sullenger BA, et al Ischemic stroke in COVID-19-positive patients: an overview of SARS-CoV-2 and thrombotic mechanisms for the neurointerventionalist Journal of NeuroInterventional Surgery 2021;13:202-206.
6. Kihira S, Schefflein J, Mahmoudi K , et al. Association of coronavirus disease (COVID-19) with large vessel occlusion strokes: acase-control study. AJR Am J Roentgenol 2020:1–6.doi:10.2214/AJR.20.23847 pmid: http:// www.ncbi. nlm.nih.gov/ pubmed/32755225 Google Scholar
7. Sharma M, Lioutas V-A , Madsen T , et al . Decline in stroke alerts and hospitalisations during the COVID-19 pandemic. Stroke Vasc Neurol 2020. doi:doi:10.1136/svn-2020-000441. [Epub ahead of print: 27 Aug 2020]. pmid: http://www. ncbi.nlm.nih. gov/pubmed/32855352 Google Scholar
8. Mao L , Jin H , Wang M , et al . Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurol 2020;77:683. doi:10.1001/jamaneurol.2020.1127 Google Scholar
9. Beyrouti R , Adams ME , Benjamin L , et al . Characteristics of ischaemic stroke associated with COVID-19. J Neurol Neurosurg Psychiatry 2020;91:889–91.doi:10.1136/jnnp-2020-23586 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32354768 FREE Full Text Google Scholar
10. Sweid A , Hammoud B , Weinberg JH , et al . Letter: thrombotic neurovascular disease in COVID-19 patients.Neurosurgery2020;87:E400–6.doi:10.1093/neuros/nyaa254 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32496534 PubMedGoogle Scholar
11. Hess DC , Eldahshan W , Rutkowski E . COVID-19-related stroke. Transl Stroke Res 2020;11:322–5.doi:10.1007/s12975-02000818 -9 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32378030 CrossRefPubMedGoogle Scholar
12. Bekelis K , Missios S , Ahmad J , et al . Ischemic stroke occurs less frequently in patients with COVID-19: a multicenter crosssectional study. Stroke 2020;51:STROKEAHA120031217. doi:10.1161/STROKEAHA.120.031217 pmid:http:// www.ncbi. nlm.nih. gov/pubmed/33106109 PubMedGoogle Scholar
13. de Havenon A , Yaghi S , Mistry EA , et al . Endovascular thrombectomy in acute ischemic stroke patients with COVID-19: prevalence, demographics, and outcomes. J Neurointerv Surg 2020;12:1045–8.doi:10.1136/neurintsurg-2020-016777 pmid: http://www. ncbi.nlm.nih.gov/pubmed/32989032 Abstract/FREE Full TextGoogle Scholar
14. Grewal P , Pinna P , Hall JP , et al . Acute ischemic stroke and COVID-19: experience from a comprehensive stroke center in Midwest us. Front Neurol 2020;11:910. doi:10.3389/fneur.2020.00910 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32973666 PubMedGoogle Scholar
15. Ntaios G , Michel P , Georgiopoulos G , et al . Characteristics and outcomes in patients with COVID-19 and acute ischemic stroke: the Global COVID-19 Stroke Registry. Stroke 2020;51:e254–8.doi:10.1161/STROKEAHA.120.031208 pmid:http:// www.ncbi.nlm.nih.gov/pubmed/32787707 PubMedGoogle Scholar
16. Tiwari A , Berekashvili K , Vulkanov V , et al . Etiologic subtypes of ischemic stroke in SARS-CoV-2 patients in a cohort of New York City hospitals. FrontNeurol 2020;11:1004. doi:10.3389/fneur.2020.01004 pmid:http:// www.ncbi.nlm.nih. gov/ pubmed/33041972 PubMedGoogle Scholar
17. Trifan G , Goldenberg FD , Caprio FZ , et al . Characteristics of a diverse cohort of stroke patients with SARS-CoV-2 and out come by sex. J Stroke Cerebrovasc Dis 2020;29:105314. doi:10.1016/j.jstrokecerebrovasdis.2020.105314 pmid:http:// www. ncbi.nlm.nih.gov/pubmed/32951959 PubMedGoogle Scholar
18. Helms J , Tacquard C , Severac F , et al . High risk of thrombosis in patients with severe SARS-CoV-2 infection: a multicenter prospective cohort study. Intensive Care Med 2020;46:1089–98.doi:10.1007/s00134-020-06062-x pmid:http:// www.ncbi. nlm.nih.gov/pubmed/32367170 CrossRefPubMedGoogle Scholar

19. Yaghi S , Ishida K , Torres J , et al . SARS-CoV-2 and stroke in a New York healthcare system. Stroke 2020;51:2002–11. doi:10.1161/STROKEAHA.120.030335 pmid:http://www.ncbi.nlm.nih.gov/pubmed/32432996 CrossRefPubMedGoogle Scholar
20. Lee KW, Yusof Khan AHK, Ching SM, Chia PK, Loh WC, Abdul Rashid AM, Baharin J, Inche Mat LN, Wan Sulaiman WA, Devaraj NK, Sivaratnam D, Basri H and Hoo FK (2020) Stroke and Novel Coronavirus Infection in Humans: A Systematic Review and Meta-Analysis. Front. Neurol. 11:579070. doi: 10.3389/fneur.2020.579070
21. Avula A, Nalleballe K, Narula N, Sapozhnikov S, Dandu V, Toom S, et al. COVID-19 presenting as stroke. Brain Behav Immun.(2020) 87:115–9. doi: 10.1016/j.bbi.2020.04.077 PubMed Abstract | CrossRef Full Text | Google Scholar
22. Fara MG, Stein LK, Skliut M, Morgello S, Fifi JT, Dhamoon MS. Macrothrombosis and stroke in patients with mild Covid-19 infection. J Thrombosis Haemostasis. (2020). doi: 10.1111/jth.14938 PubMed Abstract | CrossRef Full Text | Google Scholar
23. Mao L, Jin H, Wang M, Hu Y, Chen S, He Q, et al. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurol. (2020) 77:683–90. doi: 10.1001/jamaneurol.2020.1127 PubMed Abstract | CrossRef Full Text | Google Scholar
24. González-Pinto T, Luna-Rodríguez A, Moreno-Estébanez A, Agirre-Beitia G, Rodríguez-Antigüedad A, Ruiz-Lopez M. Emergen cy room neurology in times of COVID-19: malignant ischaemic stroke and SARS-CoV-2 infection. Eur J Neurol. (2020) 27:e35–6. doi: 10.1111/ene.14286 PubMed Abstract | CrossRef Full Text | Google Scholar
25. Moshayedi P, Ryan TE, Mejia LLP, Nour M, Liebeskind DS. Triage of acute ischemic stroke in confirmed COVID-19: largevessel occlusion associated with coronavirus infection. Front Neurol. (2020) 11:353. doi: 10.3389/fneur.2020.00353 PubMed Abstract | CrossRef Full Text | Google Scholar
26. Gunasekaran K, Amoah K, Rajasurya V, Buscher MG. Stroke in a young COVID-19 patient. QJM. (2020) 113:573–4. doi:10.1093/qjmed/hcaa177 PubMed Abstract | CrossRef Full Text | Google Scholar
27. Merkler AE, Parikh NS, Mir S, Gupta A, Kamel H, Lin E, Lantos J, Schenck EJ, Goyal P, Bruce SS, Kahan J, Lansdale KN, Le Moss NM, Murthy SB, Stieg PE, Fink ME, Iadecola C, Segal AZ, Cusick M, Campion TR Jr, Diaz I, Zhang C, Navi BB. Risk of Ischemic Stroke in Patients With Coronavirus Disease 2019 (COVID-19) vs Patients With Influenza. JAMA Neurol. 2020 Jul 2; 77(11):1–7. doi: 10.1001/jamaneurol.2020.2730. Epub ahead of print. PMID: 32614385; PMCID: PMC7333175.
28. Zhang Y, Xiao M, Zhang S, et al. . Coagulopathy and antiphospholipid antibodies in patients with COVID-19. N Engl J Med. 2020;382(17):e38. doi:10.1056/NEJMc2007575 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
29. Klok FA, Kruip MJHA, van der Meer NJM, et al. . Incidence of thrombotic complications in critically ill ICU patients with COVID-19. Thromb Res. 2020;191(191):145-147. doi:10.1016/j.thromres.2020.04.013 [PMC free article] [PubMed] [CrossRef] [Google Scholar]

For citation

Mamytova E.M.,Ubariк k. Zh.Pathophysiological and clincal aspects of ischemic stroke in COVID-19 (literature review). Health care of Kyrgyzstan 2022, No. 1, pp. 143-148. 
https://dx.doi.org/10.51350/zdravkg20223121143

Кыргызский
Авторлор жөнүндө

Мамытова Эльмира Миталиповна, медицина илимдеринин доктору, доцент, акад.  А.М. Мурзалиев атындагы неврология жана клиникалык генетика кафедрасынын башчысы, И.К. Ахунбаев атындагы Кыргыз мамлекеттик медициналык академиясы., Бишкек, Кыргыз Республикасы;

Убарик кызы Жылдыз, акад. А.М. Мурзалиев атындагы неврология жана клиникалык генетика кафедрасынын аспиранты, И.К. Ахунбаев атындагы Кыргыз мамлекеттик медициналык академиясы, Бишкек, Кыргыз Республикасы.

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Шилтемелер

1. Oficialnii sait Ministerstva zdravoochranenia Kyrgyzskoi Respubliki. http://med.kg/ru/1
2. Oficialnii sait BBC. https://www.bbc.com/russian/news-51706538.
3. Ghannam M., Alshaer Q., Al-Chalabi M., Zakarna L., Robertson J., Manousakis G. Neurological involvement of coronavirus disease 2019: a systematic. Review. 2020 [PMC free article] [PubMed] [Google Scholar]
4. Sharifi-Razavi A, Karimi N, Rouhani N. COVID-19 and intracerebral haemorrhage: causative or coincidental? N Microb New Infections. (2020) 35:100669. doi: 10.1016/j.nmni.2020.100669 CrossRef Full Text | Google Scholar
5. Zakeri A, Jadhav AP, Sullenger BA, et al Ischemic stroke in COVID-19-positive patients: an overview of SARS-CoV-2 and thrombotic mechanisms for the neurointerventionalist Journal of NeuroInterventional Surgery 2021;13:202-206.
6. Kihira S, Schefflein J, Mahmoudi K , et al. Association of coronavirus disease (COVID-19) with large vessel occlusion strokes: acase-control study. AJR Am J Roentgenol 2020:1–6.doi:10.2214/AJR.20.23847 pmid: http:// www.ncbi. nlm.nih.gov/ pubmed/32755225 Google Scholar
7. Sharma M, Lioutas V-A , Madsen T , et al . Decline in stroke alerts and hospitalisations during the COVID-19 pandemic. Stroke Vasc Neurol 2020. doi:doi:10.1136/svn-2020-000441. [Epub ahead of print: 27 Aug 2020]. pmid: http://www. ncbi.nlm.nih. gov/pubmed/32855352 Google Scholar
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Цитата үчүн

Мамытова Э.М., Убарик к. Ж. COVID-19 оорусунун фонунда ишемиялык инсульттун патофизиологиялык
жана клиникалык аспектилери (адабий сереп). Кыргызстандын саламаттык сактоо 2022,№1, с. 143-148. 

https://dx.doi.org/10.51350/zdravkg20223121143

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