Ischemic Stroke following COVID-19 in a Patient without Comorbidities

Case Rep Med. 2021 Nov 1:2021:8178529. doi: 10.1155/2021/8178529. eCollection 2021.

Abstract

Background: Stroke is a rare complication of COVID-19. Post-COVID-19 stroke occurs mainly in older patients who have preexisting vascular risk factors. Most strokes are possibly related to hypercoagulability associated with COVID-19 where elevated D-dimer levels were the most common finding. In this case, post-COVID-19 ischemic stroke occurred in a relatively young patient without preexisting cerebrovascular risk factors which were rarely reported before. Case Presentation. A 40-year-old male presented lack of concentration, sluggish mind, and forgetfulness. The patient has a positive COVID-19 history 5 weeks ago. The noncontrast MSCT scan confirmed multifocal lacunar cerebral infarction on the left lateral ventricle. Laboratory tests showed an increase in D-dimer of 1.22 g/ml.

Conclusion: In COVID-19 patients without comorbidities, ischemic stroke should be considered.

Publication types

  • Case Reports