A RARE EFFECT OF COVID-19: CEREBRAL VENOUS SINUS THROMBOSIS CASE PRESENTATION

Year 2021, Volume: 12 Issue: 3, 91 - 93, 18.08.2021

Bedriye Feyza Kurt Erman Kurt Oya Güven Okay Kaşıkeman

https://doi.org/10.33706/jemcr.893939

Cited By: 1

Abstract

Introduction: Many studies have shown that coagulation disorders and increased risk of thrombosis may occur during coronavirus disease 2019 (COVID-19) infection. Although cardiac or pulmonary vascular pathologies has been detected in most cases, cerebral sinus thrombosis are rare. During COVID-19 infection patients rarely present with neurological symptoms.
Case Report: A 19-year-old man was admitted to our emergency department with neurological symptoms. Cerebral venous sinus thrombosis (CVST) was detected in Brain Computerized Tomography and Magnetic Resonance Imaging examinations. Our patient was hospitalized in the neurology department of our hospital for medical treatment and was discharged after clinical recovery
Discussion: In this case report we wanted to draw attention to cerebral venous sinus thrombosis which is a rare but treatable complication of COVID-19 infection in a young patient. We examined our patient in the light of literature.
Conclusion: Clinicians should keep in mind the diagnosis of CVST that may occur due to infection associated thrombosis in COVID-19 patients presenting with neurological symptoms and consider adding anticoagulants to the treatment if necessary.

Keywords

cerebral venous sinus thrombosis, coronovirus, antikoagulant, MR Venography

References

• [1] www.indemic.org/expert-perspectives-thromboembolic-disease-in-covid-19 (accessed 18.12.2020)
• [2] Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020; 395:507–13 CrossRef Medline https://doi.org/10.1016/S0140-6736(20)30211-7
• [3] Tang N, Li D, Wang X, et al. Abnormal coagulation parameters are associated with poor prognosis in patients with novel coronavirus pneumonia. J Thromb Haemost 2020; 18:844–47 CrossRef Medline https://doi.org/10.1111/jth.14768
• [4] Nwajei F, Anand P, Abdalkader M, et al. Cerebral Venous Sinus Thromboses in Patients with SARS-CoV-2 Infection: Three Cases and a Review of the Literature. J Stroke Cerebrovasc Dis. 2020;29(12):105412. https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105412
• [5] Stam J. Thrombosis of the cerebral veins and sinuses. New Engl J Med. 2005;352(17):1791–1798. https://doi.org/10.1056/NEJMra042354
• [6] Silvis, S. M., de Sousa, D. A., Ferro, J. M., & Coutinho, J. M. (2017). Cerebral venous thrombosis. Nature reviews. Neurology, 13(9), 555–565. https://doi.org/10.1038/nrneurol.2017.104
• [7] Tu, T. M., Goh, C., Tan, Y. K., Leow, A. S., Pang, Y. Z., Chien, J., Shafi, H., Chan, B. P., Hui, A., Koh, J., Tan, B. Y., Umapathi, N. T., & Yeo, L. L. (2020). Cerebral Venous Thrombosis in Patients with COVID-19 Infection: a Case Series and Systematic Review. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 29(12), 105379. https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105379
• [8] Kaya, Dilaver. "Serebral Venöz Sinüs Trombozunda Tanı ve Tedavi." Turkish Journal of Neurology/Turk Noroloji Dergisi 23.3 (2017).
• [9] Cavalcanti, D. D., Raz, E., Shapiro, M., Dehkharghani, S., Yaghi, S., Lillemoe, K., Nossek, E., Torres, J., Jain, R., Riina, H. A., Radmanesh, A., & Nelson, P. K. (2020). Cerebral Venous Thrombosis Associated with COVID-19. AJNR. American journal of neuroradiology, 41(8), 1370–1376. https://doi.org/10.3174/ajnr.A6644
• [10] Behrouzi, R., & Punter, M. (2018). Diagnosis and management of cerebral venous thrombosis. Clinical medicine (London, England), 18(1), 75–79. https://doi.org/10.7861/clinmedicine.18-1-75