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Bilateral basal ganglia ischemia associated with COVID-19: a case report and review of the literature.
Bhinder, Khurram Khaliq; Siddiqi, Ahsun Rizwan; Tahir, Muhammad Junaid; Maqsood, Hamza; Ullah, Irfan; Yousaf, Zohaib.
  • Bhinder KK; Shifa International Hospital, Islamabad, Pakistan.
  • Siddiqi AR; POF Hospital, Wah Cantt, Rawalpindi, Pakistan.
  • Tahir MJ; Lahore General Hospital, Lahore, 54000, Pakistan.
  • Maqsood H; Nishtar Medical University and Hospital, Multan, Pakistan. hamzamaqsood381@gmail.com.
  • Ullah I; Kabir Medical College, Gandhara University, Peshawar, Pakistan.
  • Yousaf Z; Hamad Medical Corporation, Doha, Qatar.
J Med Case Rep ; 15(1): 563, 2021 Nov 22.
Article in English | MEDLINE | ID: covidwho-1528693
ABSTRACT

BACKGROUND:

Coronavirus disease 2019, caused by the severe acute respiratory syndrome coronavirus 2, has a broad clinical spectrum, from asymptomatic to multi-organ dysfunction. Acute cerebrovascular events associated with coronavirus disease 2019 are mainly due to the severe acute respiratory syndrome coronavirus 2-induced prothrombotic state. Bilateral basal ganglia ischemia is rarely reported. CASE PRESENTATION We report the case of a 64-year-old Asian (Pakistani) gentleman who presented initially with fever, cough, and shortness of breath, likely due to respiratory involvement by severe acute respiratory syndrome coronavirus 2. Later, he developed bilateral lower limb pain, followed by confusion and decreased level of consciousness. Accentuated large hypodense opacities were seen in the left and right basal ganglia, with mass effects on the left frontal horn.

CONCLUSION:

This case demonstrates the importance of neuroimaging in the effective management of patients with neurological signs associated with coronavirus disease 2019.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Case report / Prognostic study Limits: Humans / Male / Middle aged Language: English Journal: J Med Case Rep Year: 2021 Document Type: Article Affiliation country: S13256-021-03165-x

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Case report / Prognostic study Limits: Humans / Male / Middle aged Language: English Journal: J Med Case Rep Year: 2021 Document Type: Article Affiliation country: S13256-021-03165-x