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Am J Trop Med Hyg ; 106(3): 874-876, 2022 01 24.
Article in English | MEDLINE | ID: covidwho-1648515

ABSTRACT

A 45-year-old woman presented 3 days after symptom resolution from a COVID-19 infection with a left vertebral artery dissection with no known preceding trauma or underlying disposition. She subsequently suffered a left lateral medullary stroke 15 hours after her initial presentation. Cervical artery dissections (CeAD) can occur in the absence of trauma, and in some cases, infection may be a contributing factor. COVID-19 infection can cause an endotheliopathy and inflammatory response, which may contribute to intimal vessel disruption. Whether COVID-19 infection can contribute to CeAD and subsequent stroke is discussed, along with other considerations regarding the pathogenesis of CeAD.


Subject(s)
COVID-19 , Stroke , Vertebral Artery Dissection , Arteries , Female , Humans , Middle Aged , Risk Factors , SARS-CoV-2 , Stroke/etiology , Vertebral Artery Dissection/diagnosis , Vertebral Artery Dissection/diagnostic imaging
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