Fatal Large-vessel Cerebrovascular Infarct Presenting With Severe Coronavirus Disease 2019 in a 39-year-old Patient

A Case Report

Nicolas Koslover; Marc Hardwick; Alexander Grundmann; Tamara Levene

Disclosures

J Med Case Reports. 2021;15(538) 

In This Article

Further Clinical Evaluation

An magnetic resonance imaging (MRI) scan (Figure 2) performed the following day showed an extensive cerebral infarction in the left middle cerebral artery territory with no mass effect or midline shift.

Figure 2.

Diffusion-weighted MRI Brain showing restricted diffusion in the region of the left middle cerebral artery

Doppler ultrasound of the carotids revealed evidence of restricted flow in the left common carotid artery and thrombus along sections of the left internal carotid artery intracranially. Right-sided arteries were patent.

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