Cerebral venous thrombosis after COVID-9 infection: case report
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616.831-005.6:616-036.22:578.834 (1)
Neurologie. Neuropatologie. Sistem nervos (971)
Virologie (442)
SM ISO690:2012
CAZACU, Cristina, CALIGA, Ioana, MOLDOVANU, Ion, ODOBESCU, Stela, ROTARU, Lilia, CORCEA, Galina, MANOLE, Elena, GROSU, Oxana. Cerebral venous thrombosis after COVID-9 infection: case report. In: 7th Congress of the Society of Neurologists Issue of the Republic of Moldova, Ed. 7, 16-18 septembrie 2021, Chişinău. Chişinău: Revista Curier Medical, 2021, Vol.64, p. 54. ISSN 2537-6381 (Online).
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7th Congress of the Society of Neurologists Issue of the Republic of Moldova
Vol.64, 2021
Congresul "7th Congress of the Society of Neurologists Issue of the Republic of Moldova"
7, Chişinău, Moldova, 16-18 septembrie 2021

Cerebral venous thrombosis after COVID-9 infection: case report

CZU: 616.831-005.6:616-036.22:578.834

Pag. 54-54

Cazacu Cristina1, Caliga Ioana12, Moldovanu Ion12, Odobescu Stela2, Rotaru Lilia2, Corcea Galina2, Manole Elena1, Grosu Oxana2
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 Diomid Gherman Institute of Neurology and Neurosurgery
 
Proiecte:
 
Disponibil în IBN: 28 septembrie 2021


Rezumat

Background: Cerebral venous thrombosis is a stroke that affects the veins and sinuses of the brain and could be promoted by para-meningeal and systemic infections, like COVID-19. Material and methods: case report study. Results: A 29-year-old female admitted with complaints of blurred vision, headache, general weakness, dizziness. The disease started acutely, 3 days before the hospitalization and 2 days after the discharge from infectious diseases facility due to SARS-COV-2 infection, with “blurred” vision, “thunderclap” headache with nausea, vomiting and diarrhea, generalized tonic-clonic seizure. From the past history was mentioned a medical abortion at 20 years, migraine with aura, 10 years use of oral contraceptives, COVID-19 infection confirmed 15 days before. CT-angiography of the brain revealed the partial occlusion of the transverse sinus on the right. A set of general laboratory analyses was performed to establish the procoagulant status: Protein S – 141% (70 – 130%), Protein S – 50% (57 – 53%). Thus, the patient has several risk factors that could promote a prothrombotic process: recent COVID-19 infection, history of use of oral contraceptives, S protein deficiency and migraine with aura. Conclusions: The coexistence of several risk factors in a young patient increases the risk of developing cerebral venous thrombosis. The SARSCOV2 infection may be involved in triggering the procoagulant cascade in such patients. The most common symptom reported by patients at the onset of cerebral venous thrombosis is headache, followed by seizures and neurological deficits.

Cuvinte-cheie
COVID-19, cerebral venous thrombosis, stroke