International Medical Case Reports Journal (Jun 2021)
Arterial Thrombosis in an Asymptomatic COVID-19 Complicated by Malignant Middle Cerebral Artery Syndrome: A Case Report and Literature Review
Abstract
Ali A Alzahrani,1 Hissah Al Abdulsalam,2 Hussein Al-Sakkaf,3 Ayat Yousef,3 Fahad B Albadr3 1College of Medicine, King Saud University, Riyadh, Saudi Arabia; 2Division of Neurosurgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia; 3Department of Radiology, College of Medicine, King Saud University, Riyadh, Saudi ArabiaCorrespondence: Ali A AlzahraniCollege of Medicine, King Saud University, P.O. Box 13265, Riyadh, 8101, Saudi ArabiaTel +966508622244Email [email protected]: Coronavirus disease 2019 (COVID-19) is a severe infectious respiratory disease caused by the novel coronavirus known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Multiple studies in the literature highlight the association between COVID-19 and stroke. We report a case of acute ischemic stroke in a COVID-19 patient without displaying symptoms of active COVID-19 infection or risk factors for stroke with further review of the literature. The patient’s recovery was complicated by hemorrhagic stroke, which resulted in death. Acute ischemic strokes are one of the challenging complications of COVID-19 infection. Initial rapid assessment and management are crucial in optimizing the outcomes on these patients. Nevertheless, wearing appropriate PPE should be instituted while providing adequate care.Keywords: ischemic stroke, COVID-19, SARS-CoV-2, carotid artery thrombosis, infection, case report
