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Updated: Dec 13, 2025

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Published on: December 19, 2020
Rare presentations of COVID-19: PRES-like leukoencephalopathy and carotid thrombosis
Florence X Doo1, Gassan Kassim2, Daniel R Lefton1
1Mount Sinai Health System, Diagnostic, Molecular and Interventional Radiology, 1000 10th Avenue, Radiology, 4B 25, New York 10019, NY, USA.
Abstract:
Coronavirus disease 2019 (COVID-19) is a global pandemic, and it is increasingly important that physicians recognize and understand its atypical presentations. Neurological symptoms such as anosmia, altered mental status, headache, and myalgias may arise due to direct injury to the nervous system or by indirectly precipitating coagulopathies. We present the first COVID-19 related cases of carotid artery thrombosis and acute PRES-like leukoencephalopathy with multifocal hemorrhage.
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