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.

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