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Case Reports
. 2024 Jul 31;16(7):e65837.
doi: 10.7759/cureus.65837. eCollection 2024 Jul.

Vascular Consequences: A Case Report on Posterior Circulation Infarction as a Sequela of COVID-19

Anil M Philip  1 , Lina J George  2 , Shubhashis Saha  2 , Sethu Sadanandan  3
Affiliations
Case Reports

Vascular Consequences: A Case Report on Posterior Circulation Infarction as a Sequela of COVID-19

Anil M Philip et al. Cureus. .

Abstract

This case report presents a posterior circulation infarction in a previously healthy 39-year-old male, three months post-severe COVID-19. He presented with right-sided homonymous hemianopia and elevated inflammatory markers and D-dimer levels. Imaging revealed an acute left occipital infarct. Such post-COVID-19 posterior circulation strokes are rare. This report discusses the pathophysiology, optimal anticoagulation therapy for COVID-19-related thrombotic complications, and early predictor models. This case underscores the need to recognize thromboembolic events as potential late sequelae in severe COVID-19 cases.

Keywords: acute cerebrovascular accident; anticoagulation; covid 19; posterior circulation stroke; sars-cov2.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. MRI brain
a. Diffusion-weighted images(DWI) show an area of restricted diffusion in the left occipital lobe; b. Corresponding low value on apparent diffusion coefficient (ADC) mapping; c. The area is hyperintense on fluid-attenuated inverse recovery (FLAIR); d. Area of blooming on gradient echo (GRE) sequence consistent with microhemorrhage
See this image and copyright information in PMC

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