The purpose of this manuscript is to present two cases of unilateral internal cerebral vein thrombosis (UICVT) and use them to review the typical imaging findings and clinical presentation, provide a differential diagnosis when presented with a unilateral thalamic lesion, and discuss current literature findings of internal cerebral vein thrombosis, including the interesting trend of left-sided involvement. Two cases of UICVT were gathered from our institutions. A literature review was then conducted, and cases in the literature were compared to look for common features. Both of our cases involved the left internal cerebral vein. A total of 7 cases of unilateral and 8 cases of bilateral internal cerebral vein thrombosis were reviewed from the literature. Of the unilateral cases, all but one were on the left, and the one on the right was in a patient with right-sided malignancy after surgical resection. Most of these cases completely resolved with anticoagulation. UICVT is an extremely rare entity, with less than 10 cases reported in the literature. The prognosis of this disease is excellent if diagnosed and treated early; however, with delayed diagnosis and treatment, this process can be fatal. This highlights the importance of keeping this diagnosis on the differential when presented with a unilateral thalamic lesion.

No abstract

No abstract

Case 1 PresentationA 68-year-old man with a history of hypertension, diabetes, coronary artery disease, and stroke initially presented to the hospital for shortness of breath and cough. The result of testing the patient for COVID-19 was positive. The patient required supplemental oxygen, but did not need intubation W Abstract: Coronavirus Disease 2019 (COVID-19) has had an enormous impact on both the medical community as well as society as a whole. Research on the pathogenesis and the treatment of the disease is rapidly emerging, with new observations and hypotheses appearing daily. One aspect that has been receiving increasing attention is the occurrence of both arterial and venous thrombotic complications in patients with COVID-19. We report three cases of thromboembolic complications in patients affected by COVID-19 and discuss clinical features, pathophysiology, and the proposed approaches to management of vascular complications in these patients. Through our discussion, we also urge physicians to be vigilant for any symptoms or signs suggestive of thrombosis in patients with COVID-19.