Acute Occipital Stroke in Young COVID-19 Patient Presenting as Bilateral Visual Loss: A Rare Presentation

ABSTRACT

Case report COVID-19 infection though mainly presents as a respiratory disease it can also present as secondary stroke due to thrombotic complications. We report a case of a 28-year lean male with no underlying comorbidities and addiction who had a history of fever, cough, and neck weakness of 10 days duration and presented to us with sudden painless loss of vision in both eyes. On the evaluation of his d-dimers, serum LDH was raised. HRCT showed a CTSI of 17/25. His MRI brain showed hyperintense foci of diffusion restriction in the occipital lobe suggestive of acute infarct within the territory of a respective posterior cerebral artery. Conclusion: Stroke in COVID-19 is seen more among patients with severe respiratory disease due to thrombotic complications. Though elderly age and co-morbidities are a risk factor for increased disease severity and complications, severe disease can occur in young healthy individuals. Thus, COVID-19 disease is an independent risk factor for stroke.