Cerebral Venous Sinus Thrombosis as a Presentation of COVID-19

Coronavirus disease 19 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We describe the case of a 59-year-old man who presented with headache, hypertension and a single episode of fever with no other symptoms. He subsequently developed unilateral weakness. Comput...

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Bibliographic Details
Published in:European journal of case reports in internal medicine 2020, Vol.7 (5), p.001691-001691
Main Authors: Hughes, Christopher, Nichols, Tom, Pike, Martin, Subbe, Christian, Elghenzai, Salah
Format: Article
Language:English
Subjects:
anticoagulation
cerebral venous sinus thrombosis
covid-19
stroke
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Summary:Coronavirus disease 19 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We describe the case of a 59-year-old man who presented with headache, hypertension and a single episode of fever with no other symptoms. He subsequently developed unilateral weakness. Computer tomography identified a cerebral venous sinus thrombosis (CVST). A subsequent test for COVID-19 was positive. This is the first report of CVST as a presenting symptom of COVID-19 infection. Thrombotic events may be the initial presenting symptom of COVID-19.These thrombotic events include stroke, venous thromboembolism, pulmonary embolism and cardiac complications.Clinicians should carefully consider the risk of thrombosis in patients positive for COVID-19, including prophylaxis and treatment beyond discharge.
ISSN:2284-2594
2284-2594
DOI:10.12890/2020_001691