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Quadrantanopia as the only symptom of post-COVID stroke in the occipital pole: Case report
Katarzyna Baltaziak1, Agata Szpringer1, Aleksandra Czarnek-Chudzik1
1Chair and Department of General and Pediatric Ophthalmology, Medical University of Lublin, Poland.
Rationale:
This is a case report describing delayed complications of COVID-19 pneumonia, which evolved into the vascular-ischemic complications leading to quadrantanopia and MRI findings consistent with recent ischemic event in the occipital pole of the brain.
Patient Concerns:
We report a case of a 46-year-old woman with quadrantanopia due to stroke confirmed with brain MRI, secondary to COVID-19 infection with chronically elevated D-dimers and treated with anticoagulation/antithrombotic modalities. Quadrantanopia was the only symptom recognized by the patient of a stroke localized in the occipital pole of the brain.
Diagnosis:
The patient was diagnosed with quadrantanopia due to stroke confirmed with brain MRI, secondary to COVID-19 infection.
Intervention:
Patient underwent ophthalmological examination and MRI.
Outcomes:
A thrombotic or ischemic risks in the chronic recovery from COVID-19 should be considered in patients with elevated D-dimers.
Lessons:
An MRI should be considered as a long term follow up for post-COVID-19 patients reporting ophthalmic or neurologic complains.
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