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Hyperhomocysteinemia is related to large vessel occlusion in young patients with COVID-19: Two case reports
Seyedehnarges Tabatabaee1, Fatemeh Rezania2, Sevim Soleimani3
1Division of Neurology Firoozgar hospital, Iran University of Medical Sciences Tehran Iran.
Insights
Two young, healthy men experienced acute ischemic stroke from large vessel occlusion after COVID-19 infection. This suggests COVID-19 may worsen underlying blood clotting disorders, increasing stroke risk.
Area of Science:
- Neurology
- Infectious Diseases
- Hematology
Background:
- COVID-19 is a global pandemic with known cardiovascular complications.
- Thrombophilia, a predisposition to blood clots, can increase stroke risk.
- Young adults are typically at lower risk for ischemic stroke.
Observation:
- Two previously healthy young men presented with acute ischemic stroke.
- Both patients had confirmed COVID-19 infection.
- The strokes were characterized by large vessel occlusion and signs of further thromboembolic events.
Findings:
- COVID-19 infection was associated with acute ischemic stroke in young, healthy individuals.
- The hypercoagulable state induced by COVID-19 may exacerbate pre-existing hereditary thrombophilia.
- Large vessel occlusion was the primary cause of stroke in these cases.
Implications:
- This highlights a potential mechanism linking COVID-19 to severe cerebrovascular events in susceptible individuals.
- Early recognition and management of hypercoagulable states in COVID-19 patients may be crucial.
- Further research is needed to understand the long-term neurological risks associated with COVID-19.
Abstract:
Here, we report two cases of previously healthy young men with COVID-19 infection who developed acute ischemic stroke due to large vessel occlusion followed by secondary events concerning for a further thromboembolic event. We hypothesize that the hypercoagulable state related to COVID-19 exacerbated the underlying hereditary thrombophilia.
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