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Case Reports
. 2020 Oct;29(10):105167.
doi: 10.1016/j.jstrokecerebrovasdis.2020.105167. Epub 2020 Jul 20.

Acute Stroke as the Presenting Symptom of SARS-CoV-2 Infection in a Young Patient with Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy

Gabriela Trifan  1 , Maureen Hillmann  2 , Fernando D Testai  3
Affiliations
Case Reports

Acute Stroke as the Presenting Symptom of SARS-CoV-2 Infection in a Young Patient with Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy

Gabriela Trifan et al. J Stroke Cerebrovasc Dis. 2020 Oct.
No abstract available

Keywords: COVID-19; Cadasil; Infection; Stroke.

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Conflict of interest statement

Declaration of Competing Interest None.

Figures

Fig 1:
Fig. 1
MRI brain, axial view: A) diffusion weighed imaging showing an acute ischemic stroke in the R pons; B) Apparent diffusion coefficient sequence showing a matched reduction in the same location in the R pons, indicative of acute ischemic stroke
Fig 2:
Fig. 2
A–C: MRI brain non-contrast, axial views of the Fluid-Attenuated Inversion Recovery sequences showing chronic lacunar infarct in the L cerebellar peduncle and symmetric, bilateral periventricular and deep white matter hyperintensities, characteristic of CADASIL imaging findings
Fig 3:
Fig. 3
A) 3-D reconstitution of the non-enhanced MRA head and neck showing no evidence of acute stenosis or occlusion; B) 3-D reconstitution of the MRA head, showing intact posterior circulation without evidence of stenosis or occlusion
Fig 4:
Fig. 4
Chest X-ray, Anterior-posterior view, showing no evidence of an acute cardio-pulmonary process
See this image and copyright information in PMC

References

    1. Mao L, Jin H, Wang M, Hu Y, Chen S, He Q. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurol. 2020 - PMC - PubMed
    1. Avula A, Nalleballe K, Narula N, Sapozhnikov S, Dandu V, Toom S. COVID-19 presenting as stroke. Brain Behav Immun. 2020 S0889-1591(20)30685-1. - PMC - PubMed
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    1. Oxley TJ, Mocco J, Majidi S, Kellner CP, Shoirah H, Singh IP, et al. Large-Vessel Stroke as a Presenting Feature of Covid-19 in the Young. N Engl J Med. 2020:382(20):e60. - PMC - PubMed

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