Bilateral posterior cerebral artery territory infarction in a SARS-Cov-2 infected patient: discussion about an unusual case

J Stroke Cerebrovasc Dis. 2020 Sep;29(9):105095. doi: 10.1016/j.jstrokecerebrovasdis.2020.105095. Epub 2020 Jun 28.

Abstract

In time of SARS-Cov2 pandemic, neurologists need to be vigilant for cerebrovascular complications of Covid-19. We present a case of bilateral occipito-temporal infarction revealed by a sudden cortical blindness with haemorrhagic transformation after intravenous thrombolysis in a diabetic patient infected by Covid-19. Differential diagnoses are discussed in front of this unusual presentation and evolution.

Keywords: COVID-19; Infarction; MR perfusion; SARS-Cov2; Visual loss.

Publication types

  • Case Reports

MeSH terms

  • Adenosine Monophosphate / analogs & derivatives
  • Adenosine Monophosphate / therapeutic use
  • Alanine / analogs & derivatives
  • Alanine / therapeutic use
  • Antiviral Agents / therapeutic use
  • Betacoronavirus / pathogenicity*
  • COVID-19
  • COVID-19 Drug Treatment
  • Coronavirus Infections / complications*
  • Coronavirus Infections / diagnosis
  • Coronavirus Infections / drug therapy
  • Coronavirus Infections / virology
  • Diagnosis, Differential
  • Fatal Outcome
  • Host-Pathogen Interactions
  • Humans
  • Infarction, Posterior Cerebral Artery / complications*
  • Infarction, Posterior Cerebral Artery / diagnostic imaging
  • Infarction, Posterior Cerebral Artery / therapy
  • Male
  • Middle Aged
  • Pandemics
  • Pneumonia, Viral / complications*
  • Pneumonia, Viral / diagnosis
  • Pneumonia, Viral / drug therapy
  • Pneumonia, Viral / virology
  • Predictive Value of Tests
  • Risk Factors
  • SARS-CoV-2
  • Thrombolytic Therapy
  • Treatment Outcome

Substances

  • Antiviral Agents
  • remdesivir
  • Adenosine Monophosphate
  • Alanine