Ischemic Stroke following COVID-19 in a Patient without Comorbidities | Zendy

Rizaldy Taslim Pinzon | Zendy; Maria Devita Kumalasari | Zendy; Hana Kristina | Zendy

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Ischemic Stroke following COVID-19 in a Patient without Comorbidities

Author(s) -

Rizaldy Taslim Pinzon,

Maria Devita Kumalasari,

Hana Kristina

Publication year - 2021

Publication title -

case reports in medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.2

H-Index - 20

eISSN - 1687-9627

pISSN - 1687-9635

DOI - 10.1155/2021/8178529

Subject(s) - medicine , covid-19 , stroke (engine) , ventricle , complication , cardiology , ischemic stroke , presentation (obstetrics) , cerebral infarction , infarction , surgery , myocardial infarction , ischemia , pathology , disease , mechanical engineering , outbreak , infectious disease (medical specialty) , engineering

Background Stroke is a rare complication of COVID-19. Post-COVID-19 stroke occurs mainly in older patients who have preexisting vascular risk factors. Most strokes are possibly related to hypercoagulability associated with COVID-19 where elevated D-dimer levels were the most common finding. In this case, post-COVID-19 ischemic stroke occurred in a relatively young patient without preexisting cerebrovascular risk factors which were rarely reported before. Case Presentation . A 40-year-old male presented lack of concentration, sluggish mind, and forgetfulness. The patient has a positive COVID-19 history 5 weeks ago. The noncontrast MSCT scan confirmed multifocal lacunar cerebral infarction on the left lateral ventricle. Laboratory tests showed an increase in D-dimer of 1.22 g/ml.Conclusion In COVID-19 patients without comorbidities, ischemic stroke should be considered.

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