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Venous and arterial cerebral thrombosis: a COVID-19 dual pathology and single possible etiology-a case report

Tamer Roushdy1, Nouran K Sharaf1

  • 1Neurology Department, Faculty of Medicine, Ain Shams University, 38 Abbasia, Cairo, 11591 Egypt.

The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
|January 24, 2022
PubMed

Insights

This case report details a COVID-19 patient experiencing central nervous system (CNS) vascular events, including cerebral venous and arterial thrombosis, during recovery. This highlights the ongoing neurological risks associated with coronavirus disease 2019.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Vascular Medicine

Background:

  • Coronavirus disease 2019 (COVID-19) has demonstrated multi-systemic involvement beyond respiratory symptoms.
  • Central nervous system (CNS) and its vasculature are increasingly recognized as targets of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

Observation:

  • A 68-year-old female presented with altered consciousness, seizures, and hemiparesis shortly after contracting COVID-19.
  • The patient was in the recovery phase of infection with a positive IgM test during observation.

Findings:

  • Magnetic resonance studies indicated bilateral cortical border zone infarcts.
  • Cerebral venous thrombosis, specifically left lateral dural sinus and deep venous thrombosis, was identified.

Implications:

  • This case underscores the persistent threat of COVID-19 to CNS vasculature.
  • Neurological complications, including thrombosis, remain a critical concern during and after COVID-19 infection.
Abstract

Keywords:
Border zone infarctsCOVID-19Covid induced coagulopathySinus thrombosisVenous and arterial thrombosis

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