Cerebral venous thrombosis: A typical presentation of COVID-19 in the young.
J Stroke Cerebrovasc Dis
; 29(8): 104989, 2020 Aug.
Artículo
en Inglés
| MEDLINE | ID: covidwho-622312
ABSTRACT
OBJECTIVE:
Identify clinical and radiographic features of venous infarct as a presenting feature of COVID-19 in the young.BACKGROUND:
SARS-CoV-2 infection causes hypercoagulability and inflammation leading to venous thrombotic events (VTE). Although elderly patients with comorbidities are at higher risk, COVID-19 may also cause VTE in a broader patient population without these risks. Neurologic complications and manifestations of COVID-19, including neuropathies, seizures, strokes and encephalopathy usually occur in severe established cases of COVID-19 infection who primarily present with respiratory distress. CASE DESCRIPTION Case report of a 29-year-old woman, with no significant past medical history or comorbidities, presenting with new onset seizures. Further questioning revealed a one-week history of headaches, low-grade fever, mild cough and shortness of breath, diagnosed as COVID-19. Imaging revealed a left temporoparietal hemorrhagic venous infarction with left transverse and sigmoid sinus thrombosis treated with full dose anticoagulation and antiepileptics.CONCLUSION:
Although elderly patients with comorbidities are considered highest risk for COVID-19 neurologic complications, usually when systemic symptoms are severe, this case report emphasizes that young individuals are at risk for VTE with neurologic complications even when systemic symptoms are mild, likely induced by COVID-19 associated hypercoagulable state.Palabras clave
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Neumonía Viral
/
Trombosis de los Senos Intracraneales
/
Infecciones por Coronavirus
/
Trombosis de la Vena
/
Infarto Encefálico
/
Betacoronavirus
Tipo de estudio:
Reporte de caso
/
Estudios diagnósticos
/
Estudio pronóstico
Tópicos:
Covid persistente
Límite:
Adulto
/
Femenino
/
Humanos
Idioma:
Inglés
Revista:
J Stroke Cerebrovasc Dis
Asunto de la revista:
Angiología
/
Cérebro
Año:
2020
Tipo del documento:
Artículo
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