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  1. Article ; Online: Radiographic and clinical neurologic manifestations of COVID-19 related hypoxemia.

    Radnis, Caitlin / Qiu, Sunny / Jhaveri, Miral / Da Silva, Ivan / Szewka, Aimee / Koffman, Lauren

    Journal of the neurological sciences

    2020  Volume 418, Page(s) 117119

    Abstract: The novel coronavirus SARS-CoV-2 is known to cause hypoxemia and acute respiratory distress syndrome (ARDS) in a significant portion of those with severe disease. Survivors of critical illness and ARDS often experience neurocognitive impairment but, to ... ...

    Abstract The novel coronavirus SARS-CoV-2 is known to cause hypoxemia and acute respiratory distress syndrome (ARDS) in a significant portion of those with severe disease. Survivors of critical illness and ARDS often experience neurocognitive impairment but, to date, there is scant literature correlating radiographic hypoxic brain injury to hypoxemia related to ARDS. In this case series, we describe three cases of hypoxic brain injury seen on magnetic resonance imaging (MRI) in patients with hypoxemia secondary to COVID-19-related ARDS. The lack of severe observed hypoxemia in two of the cases suggests that unrecognized or asymptomatic hypoxemia may play a role in hypoxic brain injury related to COVID-19.
    MeSH term(s) Adult ; Aged ; COVID-19/diagnostic imaging ; COVID-19/epidemiology ; Comorbidity ; Female ; Humans ; Hypoxia/diagnostic imaging ; Hypoxia/epidemiology ; Illinois/epidemiology ; Magnetic Resonance Imaging ; Male ; Nervous System Diseases/diagnostic imaging ; Nervous System Diseases/epidemiology ; Pandemics ; Retrospective Studies ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-09-06
    Publishing country Netherlands
    Document type Case Reports ; Journal Article
    ZDB-ID 80160-4
    ISSN 1878-5883 ; 0022-510X ; 0374-8642
    ISSN (online) 1878-5883
    ISSN 0022-510X ; 0374-8642
    DOI 10.1016/j.jns.2020.117119
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Radiographic and clinical neurologic manifestations of COVID-19 related hypoxemia

    Radnis, Caitlin / Qiu, Sunny / Jhaveri, Miral / Da Silva, Ivan / Szewka, Aimee / Koffman, Lauren

    Journal of the Neurological Sciences

    2020  Volume 418, Page(s) 117119

    Keywords Neurology ; Clinical Neurology ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 80160-4
    ISSN 1878-5883 ; 0022-510X ; 0374-8642
    ISSN (online) 1878-5883
    ISSN 0022-510X ; 0374-8642
    DOI 10.1016/j.jns.2020.117119
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article: Radiographic and clinical neurologic manifestations of COVID-19 related hypoxemia

    Radnis, Caitlin / Qiu, Sunny / Jhaveri, Miral / Da Silva, Ivan / Szewka, Aimee / Koffman, Lauren

    J Neurol Sci

    Abstract: The novel coronavirus SARS-CoV-2 is known to cause hypoxemia and acute respiratory distress syndrome (ARDS) in a significant portion of those with severe disease. Survivors of critical illness and ARDS often experience neurocognitive impairment but, to ... ...

    Abstract The novel coronavirus SARS-CoV-2 is known to cause hypoxemia and acute respiratory distress syndrome (ARDS) in a significant portion of those with severe disease. Survivors of critical illness and ARDS often experience neurocognitive impairment but, to date, there is scant literature correlating radiographic hypoxic brain injury to hypoxemia related to ARDS. In this case series, we describe three cases of hypoxic brain injury seen on magnetic resonance imaging (MRI) in patients with hypoxemia secondary to COVID-19-related ARDS. The lack of severe observed hypoxemia in two of the cases suggests that unrecognized or asymptomatic hypoxemia may play a role in hypoxic brain injury related to COVID-19.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #747743
    Database COVID19

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  4. Article ; Online: Thresholds for Volume and Expansion in Intraparenchymal Hemorrhage: Predictors of Neurologic Deterioration and Mortality.

    Esfahani, Darian R / Radnis, Caitlin A / Hussein, Ahmed E / Amin-Hanjani, Sepideh / Charbel, Fady T / Alaraj, Ali

    World neurosurgery

    2017  Volume 106, Page(s) 131–138

    Abstract: Objective: Spontaneous intraparenchymal hemorrhage (IPH) is a common neurosurgical emergency, with hemorrhage size and expansion associated with poor clinical outcomes. In this study, radiologic risk factors and specific IPH volume thresholds were ... ...

    Abstract Objective: Spontaneous intraparenchymal hemorrhage (IPH) is a common neurosurgical emergency, with hemorrhage size and expansion associated with poor clinical outcomes. In this study, radiologic risk factors and specific IPH volume thresholds were calculated to identify heightened risk of neurologic deterioration and mortality.
    Methods: A consecutive review of all patients with nontraumatic IPH transferred to a tertiary academic neurosurgery service was performed over 2 years. IPH volume, hemorrhage location, presence of intraventricular hemorrhage, hydrocephalus, anticoagulant use, and neurologic status were reviewed. A maximum Youden index was calculated to determine thresholds of initial IPH volume and expansion most predictive of deterioration and mortality.
    Results: A total of 202 transfers were studied. Both initial IPH volume at the outside hospital and IPH expansion were correlated with neurologic deterioration and death. The most predictive threshold for mortality was 32 mL of initial IPH volume (area under the curve 0.758, P < 0.001, confidence interval 1.012-1.035) and 1 mL of expansion. The threshold for neurologic deterioration was 18 mL of initial volume (area under the curve 0.690, P = 0.004, confidence interval 1.004-1.025) and 1 mL of expansion. Both intraventricular hemorrhage and hydrocephalus were independently associated with elevated risk for deterioration and mortality, while anticoagulant use was associated with neurologic deterioration.
    Conclusions: Volume and growth of IPH are significant predictors of neurologic deterioration and death. An initial volume over 32 mL is associated with increased mortality risk, whereas risk of neurologic deterioration appears to peak at a smaller volume of 18 mL. Any measurable IPH expansion suggests elevated risk of deterioration and mortality.
    Language English
    Publishing date 2017-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2017.06.131
    Database MEDical Literature Analysis and Retrieval System OnLINE

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