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Simultaneous Arterial and Venous Brain Infarctions in a Patient with COVID-19: Case Report
Stroke is one of the manifestations of COVID-19-associated coagulopathy. Arterial infarcts are the most common presentation; however involvement of both arterial and venous irrigation is possible but rare. We report, what is, to our knowledge, the second case of concomitant arterial and venous brain...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8454698/ https://www.ncbi.nlm.nih.gov/pubmed/34568764 http://dx.doi.org/10.1007/s42399-021-01063-3 |
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author | Bermúdez, Sonia Forero, Paula Andrea Salej, Vanessa González, Silvia Toro, Jaime |
author_facet | Bermúdez, Sonia Forero, Paula Andrea Salej, Vanessa González, Silvia Toro, Jaime |
author_sort | Bermúdez, Sonia |
collection | PubMed |
description | Stroke is one of the manifestations of COVID-19-associated coagulopathy. Arterial infarcts are the most common presentation; however involvement of both arterial and venous irrigation is possible but rare. We report, what is, to our knowledge, the second case of concomitant arterial and venous brain thrombosis evidenced in magnetic resonance. A 62-year-old man presented with acute weakness of the left hand and lack of coordination in the left arm. Nine days earlier, he was positive for SARS-CoV-2 RT-PCR. The brain images revealed two subacute infarcts, one corresponding to the territory of the right middle cerebral artery, and the other in the right frontal cortical vein. The existence of both venous and arterial brain infarcts due to COVID-19 infection, has been previously reported once. Most of the cases of stroke are due to only arterial thrombosis; therefore, this could be the starting point to start collecting data about simultaneous compromise in order to assess and compare outcomes, severity of the disease, among other variables. |
format | Online Article Text |
id | pubmed-8454698 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-84546982021-09-22 Simultaneous Arterial and Venous Brain Infarctions in a Patient with COVID-19: Case Report Bermúdez, Sonia Forero, Paula Andrea Salej, Vanessa González, Silvia Toro, Jaime SN Compr Clin Med Case Report Stroke is one of the manifestations of COVID-19-associated coagulopathy. Arterial infarcts are the most common presentation; however involvement of both arterial and venous irrigation is possible but rare. We report, what is, to our knowledge, the second case of concomitant arterial and venous brain thrombosis evidenced in magnetic resonance. A 62-year-old man presented with acute weakness of the left hand and lack of coordination in the left arm. Nine days earlier, he was positive for SARS-CoV-2 RT-PCR. The brain images revealed two subacute infarcts, one corresponding to the territory of the right middle cerebral artery, and the other in the right frontal cortical vein. The existence of both venous and arterial brain infarcts due to COVID-19 infection, has been previously reported once. Most of the cases of stroke are due to only arterial thrombosis; therefore, this could be the starting point to start collecting data about simultaneous compromise in order to assess and compare outcomes, severity of the disease, among other variables. Springer International Publishing 2021-09-21 2021 /pmc/articles/PMC8454698/ /pubmed/34568764 http://dx.doi.org/10.1007/s42399-021-01063-3 Text en © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Case Report Bermúdez, Sonia Forero, Paula Andrea Salej, Vanessa González, Silvia Toro, Jaime Simultaneous Arterial and Venous Brain Infarctions in a Patient with COVID-19: Case Report |
title | Simultaneous Arterial and Venous Brain Infarctions in a Patient with COVID-19: Case Report |
title_full | Simultaneous Arterial and Venous Brain Infarctions in a Patient with COVID-19: Case Report |
title_fullStr | Simultaneous Arterial and Venous Brain Infarctions in a Patient with COVID-19: Case Report |
title_full_unstemmed | Simultaneous Arterial and Venous Brain Infarctions in a Patient with COVID-19: Case Report |
title_short | Simultaneous Arterial and Venous Brain Infarctions in a Patient with COVID-19: Case Report |
title_sort | simultaneous arterial and venous brain infarctions in a patient with covid-19: case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8454698/ https://www.ncbi.nlm.nih.gov/pubmed/34568764 http://dx.doi.org/10.1007/s42399-021-01063-3 |
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