COVID-19 Cerebral Vasculitis With Extensive Involvement of Anterior Circulation and Sparing of Posterior Circulation
Thomas E Kent, Sohil H Patel, Prem P Batchala, Joseph H Donahue, Thomas J Eluvathingal Muttikkal
TL;DR
This paper reports a case of cerebral vasculitis in a COVID-19 patient affecting the brain's anterior blood vessels but not the posterior ones.
Contribution
The study highlights a unique pattern of vasculitis in COVID-19 patients with stroke, emphasizing the role of vessel wall imaging in diagnosis.
Findings
A patient with COVID-19 developed anterior circulation vasculitis and ischemic stroke.
Posterior circulation was unaffected in the same patient.
Vessel wall imaging helped differentiate vasculitis from other stroke causes.
Abstract
COVID-19 infection is associated with stroke due to various proposed mechanisms, including cerebral vasculitis, arterial and venous thrombosis. Vessel wall imaging, although not pathognomonic, interpreted in the appropriate clinical context and supportive laboratory findings, can help clarify the diagnosis and differentiate the etiology from other mechanisms of CNS involvement. We describe a patient with extensive anterior circulation vasculitis and ischemic stroke in the setting of COVID-19, with sparing of the posterior circulation.
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Taxonomy
TopicsLong-Term Effects of COVID-19 · COVID-19 Clinical Research Studies · Retinal and Optic Conditions