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Post COVID-19 ischemic stroke in a 15-Year-old patient
Salem AlKandari1, Lata Prasad1, Abeer M Al Shabrawy1
1From the Department of Physical Medicine and Rehabilitation, Physical Medicine and Rehabilitation Hospital, Kuwait.
Neurosciences (Riyadh, Saudi Arabia)
|January 8, 2023
Summary
A 15-year-old girl experienced a severe stroke due to COVID-19, despite having no prior health issues. This case highlights the risk of cerebrovascular thrombosis in young people infected with the virus.
Area of Science:
- Neurology
- Infectious Diseases
- Vascular Medicine
Background:
- Coronavirus disease 2019 (COVID-19) is increasingly linked to neurological complications.
- Stroke risk in young individuals without traditional risk factors is a growing concern.
Observation:
- A 15-year-old female presented with posterior circulation ischemic stroke, including hemiplegia and cerebellar incoordination.
- The patient was COVID-19 positive but asymptomatic at the time of stroke.
- Brain imaging revealed acute infarcts in the pons and left cerebellum, with CT angiography showing occluded vertebral and basilar arteries.
Findings:
- This case demonstrates COVID-19-associated cerebrovascular thrombosis in an otherwise healthy adolescent.
- No coagulopathy was detected, apart from a mildly elevated D-dimer.
- The stroke occurred in the absence of pre-existing comorbidities or known risk factors for thrombosis.
Implications:
- COVID-19 may trigger arterial thrombosis and stroke in young, healthy individuals.
- Further research is needed to understand the mechanisms of COVID-19-related vascular events in adolescents.
- Clinicians should consider COVID-19 screening in young patients presenting with unexplained stroke.
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