Open AccessQuadrantanopia as the only symptom of post-COVID stroke in the occipital pole
Author(s) -
Katarzyna Baltaziak,
Agata Szpringer,
Aleksandra Czarnek-Chudzik,
Maksymilian Onyszkiewicz,
Mario Damiano Toro,
Anna Pankowska,
Radosław Pietura,
Robert Ręjdak,
Katarzyowomiejska
Publication year - 2021
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000027542
Subject(s) - medicine , stroke (engine) , covid-19 , magnetic resonance imaging , occipital lobe , pneumonia , surgery , radiology , mechanical engineering , disease , infectious disease (medical specialty) , engineering
Rationale: This is a case report describing delayed complications of COVID-19 pneumonia, which evolved into the vascular-ischemic complications leading to quadrantanopia and MRI findings consistent with recent ischemic event in the occipital pole of the brain. Patient concerns: We report a case of a 46-year-old woman with quadrantanopia due to stroke confirmed with brain MRI, secondary to COVID-19 infection with chronically elevated D-dimers and treated with anticoagulation/antithrombotic modalities. Quadrantanopia was the only symptom recognized by the patient of a stroke localized in the occipital pole of the brain. Diagnosis: The patient was diagnosed with quadrantanopia due to stroke confirmed with brain MRI, secondary to COVID-19 infection. Intervention: Patient underwent ophthalmological examination and MRI. Outcomes: A thrombotic or ischemic risks in the chronic recovery from COVID-19 should be considered in patients with elevated D-dimers. Lessons: An MRI should be considered as a long term follow up for post-COVID-19 patients reporting ophthalmic or neurologic complains.