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Cerebral Venous Sinus Thrombosis as an Unexpected Complication of COVID-19 Pneumonia

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TLDR
In this article, the authors present a rare case of a young patient with COVID-19 who presented with thrombosis of the cerebral venous system managed with anticoagulation.
Abstract
Coronavirus disease 2019 (COVID-19) is commonly associated with acute respiratory distress syndrome and acute cardiac and renal injuries. However, thromboembolic events are also prevalent in COVID-19. The pathogenesis of COVID-19 hypercoagulability is not well known but may be linked to the cytokine storm induced by a viral infection or endothelial damage that triggers a cascade leading to hypercoagulability. Because vascular endothelium has angiotensin-converting enzyme 2-like lung tissue, COVID-19 targets lung tissue and vascular endothelium, leading to thrombosis. We present a rare case of a young patient with COVID-19 who presented with thrombosis of the cerebral venous system managed with anticoagulation. This case highlights the need for heightened awareness of this atypical but potentially treatable complication of the COVID-19 disease spectrum.

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Journal ArticleDOI

Post COVID-19 cerebral venous sinus thrombosis; a case report.

TL;DR: In this paper, a 58-year-old female presented with headache, nausea, left sided weakness, and slurred speech, and was prescribed Clexane 6000 IU twice daily, and after 14 days, it was changed to warfarin with an INR between 2 and 3.
Journal ArticleDOI

COVID-19 Vaccine-Induced Cerebral Sinus Thrombosis: Coincidence vs. Cause?

TL;DR: Two patients who suffered headaches and seizures after being vaccinated against COVID-19 were found to have CVST, which was treated with anticoagulation.
Journal ArticleDOI

Paraganglioma: An Unexpected Diagnosis in a Patient With Cerebral Venous Sinus Thrombosis and SARS-CoV-2 Infection

TL;DR: In this article, a 27-year-old male, with a recent SARS-CoV-2 infection, who went to the emergency department for a severe left occipital headache and was diagnosis with CVST.
Journal ArticleDOI

Neurological complications of COVID-19 in pediatric patients require comprehensive evaluation

TL;DR: The study is appealing but raises some concerns and comments, and the causal relation between COVID-19 and epilepsy in this patient remains unproven.
References
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Journal ArticleDOI

COVID-19 and Thrombotic or Thromboembolic Disease: Implications for Prevention, Antithrombotic Therapy, and Follow-up

Behnood Bikdeli, +50 more
TL;DR: The current understanding of the pathogenesis, epidemiology, management and outcomes of patients with COVID-19 who develop venous or arterial thrombosis, and of those with preexistingThrombotic disease who develop CO VID-19 are reviewed.
Journal ArticleDOI

Cerebral Venous Sinus Thrombosis in COVID-19 Infection: A Case Series and Review of The Literature.

TL;DR: The importance of maintaining a high index of suspicion for cVST in patients with COVID-19 infection, particularly those with unexplained cerebral hemorrhage, or infarcts with an atypical pattern for arterial occlusive disease, is illustrated.
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