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Performing Permanent Distal Middle Cerebral with Common Carotid Artery Occlusion in Aged Rats to Study Cortical Ischemia with Sustained Disability
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Bilateral Carotid Artery Dissections and Ischemic Stroke in a Patient With COVID-19: A Case Report

Jessica Sop1, Jordan Allen1

  • 1Emergency Medicine, Charleston Area Medical Center, Charleston, USA.

Cureus
|December 23, 2022
PubMed

Insights

An unresponsive patient with COVID-19 infection presented with bilateral carotid artery dissections and a thrombus. This case highlights a potential link between COVID-19 and acute vascular events.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Vascular Medicine

Background:

  • Unresponsive patients with COVID-19 require urgent evaluation for diverse causes.
  • COVID-19 is associated with a prothrombotic state and vascular complications.

Observation:

  • A 41-year-old female with rheumatoid arthritis and COVID-19 presented to the emergency department.
  • The patient was unresponsive and found to have bilateral carotid artery dissections.
  • A thrombus extended from the left internal carotid artery into the middle cerebral artery.

Findings:

  • The case presents a rare complication in a COVID-19 patient.
  • The patient experienced severe cerebrovascular events including dissections and arterial thrombosis.

Implications:

  • This case raises questions about a potential causal or coincidental association between COVID-19 and acute vascular diseases.
  • Further research is needed to understand the mechanisms linking COVID-19 to thromboembolic events.
  • Clinicians should consider vascular complications in unresponsive COVID-19 patients.

Keywords:
ais (acute ischemic stroke)basal ganglia hemorrhagecovid-19non-traumatic carotid artery dissectionthromboembolic event

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