We report five cases of large-vessel stroke in patients younger than 50 years of age who presented to our health system in New York City. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection was diagnosed in all five patients.
Cough, headache, and chills lasting 1 week developed in a previously healthy 33-year-old woman (Patient 1) (Table 1). She then had progressive dysarthria with both numbness and weakness in the left arm and left leg over a period of 28 hours...
CT angiography showed a partial infarction of the right middle cerebral artery with a partially occlusive thrombus in the right carotid artery at the cervical bifurcation.The table embedded at the link provides clinical data on the five patients, who were age 33, 37, 39, 44, and 49. All of them were screened for other stroke risk factors (smoking, HT, hyperlipidemia, diabetes, a fib, CHF, illicit drug use, and neck trauma). More information at the link.
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