Shibata Ken-Ichi, Mukai Tatsuya, Nakagaki Hideaki, Nagano Sukehisa
Department of Neurology, Fukuoka City Hospital.
Rinsho Shinkeigaku. 2021 Jul 30;61(7):486-490. doi: 10.5692/clinicalneurol.cn-001593. Epub 2021 Jun 18.
A 63-year-old man, who had persistent fever for a month, was admitted to the hospital with sudden left arm palsy with a National Institutes of Health Stroke Scale score of 3. Consequently, brain MRI showed hyperintensity of the bilateral occipital, right parietal, and right frontal lobes on diffusion-weighted imaging. Moreover, FLAIR presented hyperintensity of the left occipital lobe. Magnetic resonance angiography detected the deficit of the blood-flow signal of the horizontal segment of the middle cerebral artery. He was diagnosed with acute ischemic stroke. In addition, chest CT showed ground-glass opacities, and test to detect SARS-CoV-2 was positive. Cerebral embolism was suspected. However, the source was unknown. His ischemic stroke was possibly associated with coagulation abnormality caused by coronavirus disease 2019.
一名63岁男性,持续发热1个月,因突发左臂麻痹入院,美国国立卫生研究院卒中量表评分为3分。脑部MRI显示,在弥散加权成像上双侧枕叶、右侧顶叶和右侧额叶呈高信号。此外,液体衰减反转恢复序列显示左侧枕叶呈高信号。磁共振血管造影检测到大脑中动脉水平段血流信号缺失。他被诊断为急性缺血性卒中。此外,胸部CT显示磨玻璃影,严重急性呼吸综合征冠状病毒2检测呈阳性。怀疑为脑栓塞。然而,病因不明。他的缺血性卒中可能与2019冠状病毒病引起的凝血异常有关。