Kobayashi Yuya, Furukawa Ryo, Kasuga Kazuki, Shimizu Yusaku
Department of Neurology, Ina Central Hospital, Japan.
Intern Med. 2024 Sep 15;63(18):2567-2570. doi: 10.2169/internalmedicine.3897-24. Epub 2024 Jul 4.
Although endothelial damage has been hypothesized to be associated with coronavirus disease 2019 (COVID-19)-related cerebral infarction based on the specificity of the viral cellular invasion pathway, no case has been reported to date. We herein report a 51-year-old Japanese woman who presented with neck pain one week after COVID-19 infection. Computed tomography and magnetic resonance imaging revealed inflammation of the carotid and vertebral arteries. Ultrasonography revealed multiple flap-like structures that were assumed to be thrombi. Although the patient had no cerebral infarction, this could be an important case of vascular damage and thrombus formation in a COVID-19 patient.
尽管基于病毒细胞侵袭途径的特异性，有假说认为内皮损伤与2019冠状病毒病（COVID-19）相关的脑梗死有关，但迄今为止尚未有病例报道。我们在此报告一名51岁的日本女性，她在感染COVID-19一周后出现颈部疼痛。计算机断层扫描和磁共振成像显示颈动脉和椎动脉有炎症。超声检查发现多个类似皮瓣的结构，推测为血栓。尽管该患者没有脑梗死，但这可能是一例COVID-19患者发生血管损伤和血栓形成的重要病例。
