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Young people, Infected with covid-19, are dying of stroke

Young people and middle-aged, Infected with covid-19, are dying of stroke

Doctors are worried scared about young patients in their 30s and 40s left for dead debilitating in the hospitals dying of stroke. Some did not even know they were infected.

Thomas Oxley was not even on call the day he received the upcoming page at Mount Israel Sinai Beth Hospital in Manhattan. There were not enough doctors to treat all emergency stroke patients, and he needed it in the surgery.

The patient chart seemed remarkably at first glance. He took no medications and had no history of chronic conditions. He had been feeling fine, hanging out at home during the lockdown like the rest of the country, when suddenly he had trouble speaking and moving the right side of his body. Imaging showed a large obstruction on the left side of his head.

Young people, Infected with covid-19
Young people, Infected with covid-19

 

The man was among several recent stroke patients in their 30s to 40s who were all infected with the coronavirus. The median age for that type of severe stroke is 74.

As Oxley, an interventional neurologist, began the procedure to remove the clot, he observed something he had never seen before. On the monitors, the brain usually appears as a tangle of black squiggles – “like a can of spaghetti,” he says – which provides a map of blood vessels. A clot appears as a void. As he used a needle-like device to pull out the clot, he saw new clusters forming in real time around him.

“This is crazy,” he remembers telling his boss.

Increasing Stroke Reports

Reports of stroke in the young and middle-aged – not only in Mount Sinai, but also in many other hospitals in communities hard hit by the coronavirus novel – are the latest breakthrough in our understanding evolutionary of his related disease, covid-19.

Even as the virus infected nearly 2.8 million people worldwide and killed about 195,000 on Friday, its biological mechanisms continue to exclude top scientific minds. Once thought to be a pathogen that mainly attacks the lungs, it has turned out to be a much more terrifying enemy – affecting almost every major organ system in the body.

Until recently, hard data on stroke and covid-19 was scarce.
There was one report out of Wuhan, China, which showed that some hospital patients had experienced a stroke, many of whom were seriously ill and elderly.

But the connection was considered more of a “clinical hunt by many very smart people,” said Sherry H-Y Chou, a University of Pittsburgh Medical Center neurologist and critical care physician.

Now for the first time, three major medical centers in the United States are preparing to publish data on the stroke phenomenon. The numbers are small, only a few dozen per location, but they provide new insights into what the virus does to our bodies.

Stroke, which is a sudden disruption to the blood supply, is a complex problem with many causes and presentations. It can be caused by heart problems, clogged arteries due to cholesterol, even substance abuse. Minor strokes often do not cause lasting damage and can resolve on their own within 24 hours. But larger ones can be disastrous.

The analyzes suggest that coronavirus patients experience the most lethal type of stroke. Known as cases of large vessels, or LVOs, they can eliminate large parts of the brain responsible for movement, speech and decision making in one shot because they are in the main arteries supplying blood.

Many researchers suspect that stroke in covid-19 patients may be a direct result of blood problems that produce clots all over some people’s bodies.

Clusters that form on the walls of boats fly up. One who originated in the calves may migrate to the lungs, causing an obstruction called respiratory arresting pulmonary embolism – a known cause of death in covid-19 patients. Clusters in or near the heart could lead to a heart attack, another common cause of death. Anything above that would probably go to the brain, leading to a stroke.

Many doctors expressed concern that as the New York City Fire Department routinely raised four times as many people who died at home during the peak of the infection some of the dead had suffered a sudden stroke. The truth may never be known because only a few autopsies were conducted.

Thomas Jefferson University Hospitals, which operates 14 medical centers in Philadelphia, and NYU Langone Health in New York City, found that 12 of their patients treated for major blood vessel blockages in their brain during a three-week period of the outbreak of the coronavirus, 40% were under 50, with little or no risk factors.

 

 

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REF : Washingtonpost

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