Cerebral Sinus Thrombosis Secondary to SARS-CoV-2 Infection.
Mojtaba KhazaeiKiana KarimiParinaz SedighiSalman KhazaeiPublished in: Case reports in neurological medicine (2021)
Coronavirus disease-19 (COVID-19) is a novel infectious disease and every day we are learning more about its various clinical features and complications. Different studies during the pandemic have shown various neurological manifestations secondary to the infection such as stroke due to cerebral vessel thrombosis. Herein, we presented a 57-year-old man admitted to our hospital with gradual headache, seizure, and decreasing level of consciousness. Three weeks earlier, he was diagnosed with COVID-19 and mild to moderate respiratory problems. Decreased level of consciousness made physicians intubate the patient and initiate mechanical ventilation in the intensive care unit (ICU). Treatment was initiated with phenytoin. Brain CT scan showed right transverse sinus and cortical vein thrombosis with subarachnoid hemorrhage. He received successful anticoagulant therapy, with further improvement in oxygenation, and discharged with a good general condition. This case is important because several neurological complications of COVID-19 should be noticed and managed by appropriate treatment according to the patient's condition.
Keyphrases
- coronavirus disease
- subarachnoid hemorrhage
- cerebral ischemia
- sars cov
- mechanical ventilation
- respiratory syndrome coronavirus
- brain injury
- pulmonary embolism
- computed tomography
- atrial fibrillation
- infectious diseases
- case report
- healthcare
- acute respiratory distress syndrome
- primary care
- venous thromboembolism
- risk factors
- magnetic resonance imaging
- magnetic resonance
- respiratory failure
- multiple sclerosis
- resting state
- combination therapy
- image quality
- bone marrow
- cell therapy
- white matter
- positron emission tomography
- mesenchymal stem cells
- functional connectivity
- pet ct
- dual energy