Cetiner Mustafa, Çakmakçı Güngör, Bardakçı Muhammed Alperen, Akdağ Gönül, Canbaz Kabay Sibel
Department of Neurology, Kütahya Health Sciences University School of Medicine, Kütahya, TUR.
Cureus. 2021 Nov 23;13(11):e19848. doi: 10.7759/cureus.19848. eCollection 2021 Nov.
COVID-19 disease causes various neurological disorders. Of these, stroke is the most devastating and difficult to manage in epidemic conditions. An increase in the rate of acute ischemic stroke in hospitalized coronavirus patients and stroke with large vessel occlusion due to COVID-19 disease have been reported in recent publications. The management of these patients is difficult and becomes even more challenging in epidemic conditions. A 71-year-old man suddenly developed left-sided weakness while he was hospitalized for COVID-19 disease. Cerebral computed tomographic angiography showed a terminus of the right internal carotid artery. The occluded vessel was completely recanalized by endovascular therapy. Left-sided hemiparesis resolved completely. As a result of this study, cryptogenic stroke was considered in the etiology of stroke. In this report, we present a case of stroke with COVID-19, who developed large vessel occlusion accompanied by splenic infarction while hospitalized due to COVID-19 disease and was successfully treated with endovascular thrombectomy under epidemic conditions.
新型冠状病毒肺炎（COVID-19）可引发多种神经系统疾病。其中，中风最为严重，在疫情期间也最难处理。近期发表的文献报道了住院的冠状病毒患者急性缺血性中风发生率增加以及因COVID-19疾病导致的大血管闭塞性中风。这些患者的治疗难度很大，在疫情期间更是极具挑战性。一名71岁男性在因COVID-19疾病住院期间突然出现左侧肢体无力。脑部计算机断层血管造影显示右侧颈内动脉末端闭塞。通过血管内治疗，闭塞血管完全再通。左侧偏瘫完全缓解。基于本研究结果，中风病因考虑为隐源性中风。在本报告中，我们介绍了一例因COVID-19疾病住院期间发生大血管闭塞并伴有脾梗死的COVID-19相关性中风病例，该病例在疫情条件下成功接受了血管内血栓切除术治疗。
