Khazaei Mojtaba, Karimi Kiana, Sedighi Parinaz, Khazaei Salman
Department of Neurology, Hamadan University of Medical Sciences, Hamadan, Iran.
Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.
Case Rep Neurol Med. 2021 Mar 3;2021:6640368. doi: 10.1155/2021/6640368. eCollection 2021.
Coronavirus disease-19 (COVID-19) is a novel infectious disease and every day we are learning more about its various clinical features and complications. Different studies during the pandemic have shown various neurological manifestations secondary to the infection such as stroke due to cerebral vessel thrombosis. Herein, we presented a 57-year-old man admitted to our hospital with gradual headache, seizure, and decreasing level of consciousness. Three weeks earlier, he was diagnosed with COVID-19 and mild to moderate respiratory problems. Decreased level of consciousness made physicians intubate the patient and initiate mechanical ventilation in the intensive care unit (ICU). Treatment was initiated with phenytoin. Brain CT scan showed right transverse sinus and cortical vein thrombosis with subarachnoid hemorrhage. He received successful anticoagulant therapy, with further improvement in oxygenation, and discharged with a good general condition. This case is important because several neurological complications of COVID-19 should be noticed and managed by appropriate treatment according to the patient's condition.
冠状病毒病-19（COVID-19）是一种新型传染病，我们每天都在更多地了解其各种临床特征和并发症。疫情期间的不同研究显示，感染继发了各种神经学表现，如脑血管血栓形成导致的中风。在此，我们报告一名57岁男性，因逐渐出现头痛、癫痫发作和意识水平下降入住我院。三周前，他被诊断为COVID-19，有轻至中度呼吸问题。意识水平下降使医生对患者进行插管，并在重症监护病房（ICU）启动机械通气。开始用苯妥英治疗。脑部CT扫描显示右横窦和皮质静脉血栓形成伴蛛网膜下腔出血。他接受了成功的抗凝治疗，氧合进一步改善，出院时一般状况良好。该病例很重要，因为COVID-19的几种神经并发症应引起注意，并根据患者情况进行适当治疗。
