Related Experiment Video
Updated: Dec 18, 2025
14:58
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
10.1K
Cerebral Venous Thrombosis Associated with COVID-19
D D Cavalcanti1, E Raz2, M Shapiro1
1From the Departments of Radiology (D.D.C., E.R., M.S., S.D., R.J., A.R., P.K.N.).
AJNR. American Journal of Neuroradiology
|June 20, 2020
Summary
Young patients with COVID-19 experienced severe cerebral venous thrombosis, a rare but fatal complication. This highlights the need for awareness of neurological symptoms in coronavirus disease 2019 patients.
Area of Science:
- Neurology
- Infectious Diseases
- Vascular Medicine
Background:
- Coronavirus disease 2019 (COVID-19) is primarily associated with respiratory, cardiac, and renal complications.
- Thromboembolic events are increasingly recognized as a significant complication of COVID-19.
Observation:
- A series of three young patients (<41 years) with confirmed Severe Acute Respiratory Syndrome coronavirus 2 (SARS-Cov-2) infection presented with neurological symptoms.
- These patients developed cerebral venous system thrombosis within days of COVID-19 symptom onset.
Findings:
- Cerebral venous thrombosis involved both superficial and deep systems, including the straight sinus, vein of Galen, and internal cerebral veins.
- Two patients experienced hemorrhagic venous infarcts, and one had deep medullary vein thrombosis.
- All three patients had a fatal outcome, underscoring the severity of this manifestation.
Implications:
- Cerebral venous thrombosis is a rare but severe and potentially fatal neurological complication of COVID-19.
- Clinicians should maintain a high index of suspicion for atypical neurological presentations, including cerebral venous thrombosis, in COVID-19 patients.
- Early recognition and management of cerebral venous thrombosis are crucial for improving outcomes in patients with COVID-19.
Related Concept Videos
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
204
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
204
01:30Venous Thrombosis I: Introduction
182
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
182
01:29Venous Thrombosis III: Interprofessional Care
195
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
195
01:30Venous Thrombosis IV: Nursing Management
140
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
140
01:19Veins of Head and Neck
4.7K
The blood drainage from the head and neck is primarily managed by three pairs of veins: the external jugular, internal jugular, and vertebral veins. The external jugular veins drain superficial scalp and face structures, passing over the sternocleidomastoid muscles to empty into the subclavian veins.
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
4.7K
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
127
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
127