From: Inactivated COVID-19 vaccine induced acute stroke-like focal neurologic symptoms: a case series
Characteristics | n = 19 |
---|---|
Neurological symptoms, n (%) | |
Unilateral numbness | 18 (94.7) |
Headache at the initial presentation | 10 (52.6) |
Headache during the course | 17 (89.5) |
Unilateral weakness | 9 (47.4) |
Nausea /vomiting | 4 (21.1) |
Perioral numbness | 3 (15.8) |
Neurological deficits, n (%) | |
Sensory deficits | 15 (79) |
Motor deficits | 10 (52.6) |
Tongue deviation | 5 (26.3) |
Time of neurological symptom after vaccination, mins (median, IQR) | 55 (21,661) |
Time to complete recovery | |
< 24 h | 0 (0) |
24–72 h | 1 (5.3) |
72 h -1 week | 3 (15.8) |
1–2 weeks | 8 (42.1) |
2–4 weeks | 2 (10.5) |
> 4 weeks | 5 (26.3) |
Brain imaging | |
Initial CT brain with normal findings, n (%) | 15 (78) |
Time from symptom onset to CT scan, hr, median (IQR) | 6.04 (2.3,13.5) |
Initial MRI brain with normal findings, n (%), n (%) | 19 (100) |
Time from symptom onset to MRI scan, hr, median (IQR) | 2.56 (1.6, 7.5) |
Non-invasive vascular imaging (CTA/MRA), n (%) | 19 (100) |
No vascular abnormality | 16 (84.2) |
Dynamic angiographic change in luminal narrowing, n (%) | 3 (15.8) |
Outcomes | |
NIHSS | |
Initial, median (IQR) | 1 (1,2.5) |
at 2-week, median (IQR) | 0 (0,0) |
at 4-week, median (IQR) | 0 (0,0.5) |
mRS | |
Initial, median (IQR) | 1 (0.5,2) |
at 2-week, median (IQR) | 0 (0,1) |
at 4-week, median (IQR) | 0 (0,1) |