Changes in stroke presentation in neo-Covid patients: A case study

• Main Authors: Anoop Kohli, MD, DM, Charchit Gupta, MD, Shvet Dutta, MD, Chirag Madaan, MD
• Format: Article
• Language: English
• Published: Elsevier 2021-06-01
• Series: Interdisciplinary Neurosurgery
• Subjects: Covid-19; Seizure; Scattered brain infarcts; Stroke; Cytokine storm
• Online Access: http://www.sciencedirect.com/science/article/pii/S2214751920305107
• ISSN: 2214-7519

A 35 year old male had a generalized seizure a week after symptoms of daily fever, rigors, and throat discomfort. He was hospitalized. Magnetic resonance imaging brain showed multiple bilateral scattered infarcts. COVID-19 swab test came positive. An elaborate panel of tests for young strokes, cardiac work-up was normal. At home, he complained of some visual blurring, slowing in thought processing, occasional loss of words. His face became significantly pigmented. A young male, COVID-19 positive, showed multiple scattered infarcts. Exaggerated pro-thrombotic activity of the nature of a cytokine storm, is the probable cause.