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Published on: November 20, 2015
A case of malignant cerebral infarction associated with COVID-19 infection
Dorina Roy1, Milo Hollingworth2, Ashwin Kumaria2
1Department of Medical Education, Nottingham University Hospitals, Nottingham, UK.
Insights
Stroke is an emerging symptom of COVID-19. A healthcare worker with COVID-19 developed a severe brain stroke, necessitating emergency surgery, highlighting COVID-19
Area of Science:
- Neurology
- Infectious Diseases
- Neurosurgery
Background:
- COVID-19 is increasingly linked to cerebrovascular events.
- Understanding the neurological manifestations of COVID-19 is critical.
Observation:
- A 46-year-old healthcare worker presented with COVID-19.
- The patient developed a malignant cerebral infarction, a severe type of stroke.
Findings:
- The stroke was a presenting feature of the COVID-19 infection.
- Emergency decompressive craniectomy was required to manage the brain swelling.
Implications:
- This case highlights the significant neurosurgical challenges posed by COVID-19.
- Inflammatory and pro-coagulopathic states in COVID-19 can lead to severe neurological complications.
Abstract:
Stroke as a presenting feature of COVID-19 infection is being increasingly recognized. We describe a case of a 46-year-old healthcare worker with COVID-19 who developed malignant cerebral infarction requiring emergency decompressive craniectomy. This case illustrates the neurosurgical implications associated with inflammatory and pro-coagulopathic derangements in COVID-19 disease.

