Valenta Jordan, Sheikhan Nazanin, Trad George, Brockway Matthew, Wierman Ann
Internal Medicine, Mountainview Hospital, Las Vegas, USA.
Hematology/Oncology, Mountainview Hospital, Las Vegas, USA.
Cureus. 2022 Jul 16;14(7):e26917. doi: 10.7759/cureus.26917. eCollection 2022 Jul.
Cerebral venous sinus thrombosis (CVST) is a rare etiology of stroke that results from inherited and/or acquired conditions, which can present in a variety of symptoms. CVST in the setting of the 2019 coronavirus disease (COVID-19) has rarely been observed. Herein, we present the case of a 32-year-old female with a recent history of COVID-19 subsequently found to have CVST involving bilateral transverse sinuses. Further workup demonstrated several hypercoagulable conditions, which were likely exacerbated by the viral infection. This case demonstrates an atypical outcome for young, COVID-19-positive patients, which emphasizes the importance of diligence when examining symptomatic patients with a history of COVID-19 infection. The patient was treated with apixaban therapy with radiographic resolution of bilateral CVST and improved vision.
脑静脉窦血栓形成（CVST）是一种罕见的中风病因，由遗传和/或后天因素引起，可表现出多种症状。2019冠状病毒病（COVID-19）背景下的CVST很少见。在此，我们报告一例32岁女性病例，该患者近期有COVID-19病史，随后被发现患有累及双侧横窦的CVST。进一步检查发现了几种高凝状态，可能因病毒感染而加重。该病例显示了COVID-19阳性年轻患者的非典型结局，强调了对有COVID-19感染病史的有症状患者进行检查时保持谨慎的重要性。该患者接受了阿哌沙班治疗，双侧CVST影像学表现消退，视力改善。
