Case Report
Unusual Pattern of Arterial Macrothrombosis Causing Stroke in a Young Adult Recovered from COVID-19

https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105353Get rights and content

Abstract

Coronavirus disease-19 (COVID-19) pandemic continues to grow all over the world. Neurological manifestations related to COVID-19, including acute ischemic Stroke (AIS), have been reported in recent studies. In most of these, the patients are older, have multiple co-morbidities as risk factors for AIS and have developed a severe respiratory illness. Herein, we report a 36-year-old man with no significant past medical history who recently recovered from a mild COVID-19 infection and presented with unusual pattern of arterial macrothrombosis causing AIS. When the AIS happened, he had no COVID-19 related symptoms, had two negative screening tests for the infection and his chest CT was unremarkable.

Key Words

Coronavirus disease-19
COVID
Large Vessel Occlusion
Acute Ischemic Stroke
Young
Macrothrombosis
SARS-CoV-2 Infection

Abbreviations

COVID-19
Coronavirus disease-19
AIS
Acute Ischemic Stroke
PMH
Past Medical History
NIHSS
National Institutes of Health Stroke Scale
CT
Computed Tomography
CTA
CT Angiography
ASPECT
Alberta Stroke Program Early CT, MCA, Middle Cerebral Artery
ECA
External Carotid Artery
ICA
Internal Carotid Artery
LVO
Large Vessel Occlusion: PCR, Polymerase Chain Reaction: TICI, Thrombolysis in Cerebral Infarction

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