A Rare Presentation of Cerebrovascular Accident in a COVID-19 Patient: A Case Report

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a single-stranded, positive-sense, enveloped ribonucleic acid (RNA) virus. SARS-CoV-2 and its associated disease coronavirus disease 2019 (COVID-19) has caused a global pandemic in the year 2019-2020. COVID-19 has caused widespread death, economic burden, and overcrowding of hospitals. As of September 2020, there is no reliable pharmacological treatment for patients affected by COVID-19. Herein we present a case of a 41-year-old Caucasian female who presented to the emergency department with flu-like symptoms for the past five days. The patient was admitted for COVID-19 symptoms and subsequently developed COVID-19 associated thrombotic syndrome and ischemic stroke. Below, we discuss risk factors, pathology, and rare manifestations resulting from COVID-19 infection. COVID-19 primarily affects the lungs, but a review of the current literature shows limited cases of ischemic stroke and diffuse thrombosis induced by infection of the novel COVID-19 in relatively healthy individuals with minimal risk factors.

Lokasi Lesi Sistem Saraf Pusat pada Pemeriksaan Magnetic Resonance Imaging Pasien Covid-19 dengan Stroke: Tinjauan Naratif

“…Penelitian Priftis et al, (2020) juga menemukan adanya lesi abnormal berupa lesi hiperintensitas namun perbedaannya adalah peenlitian ini menggunakan sekuens FLAIR yang dapat mengevaluasi adanya infark, perdarahan, dan sebagainya. Gejala yang timbul akibat adanya kerusakan pada lobus parietalis salah satunya adalah nyeri kepala (Sattler et al, 2020;Alshamam et al, 2020).…”

“…Lokasi dan gambaran lesi hiperintensitas yang diidentifikasi merupakan hasil interpretasi pemeriksaan Magnetic Resonance Imaging (MRI). Lokasi lesi yang timbul beragam dengan gambaran lesi hiperintensitas pada hasil pemeriksaan dan dapat dikelompokkan menjadi cerebrum yang terdiri dari lobus frontalis, lobus parietalis, lobus temporalis, lobus oksipitalis, dan lobus insula, cerebellum, serta ganglia basalis yang terdiri dari nucleus caudatus, capsula interna, putamen, thalamus, dan corpus striatum Sattler et al, 2020;Iqbal et al, 2021;. Alshamam et al, 2020;Segarra et al, 2020; Adebayo et al, 2020; dan Alamami et al, 2020.…”