Late-post-COVID-19 cerebral venous sinus thrombosis and stroke: a case report

J Cardiovasc Med (Hagerstown). 2023 Jan 1;24(1):72-74. doi: 10.2459/JCM.0000000000001400. Epub 2022 Nov 15.

Abstract

Introduction: Coronavirus disease 2019 (COVID-19) disease increases risk of venous thromboembolisms (VTE), primarily deep vein thrombosis and pulmonary embolism. Only a few cases of cerebral venous sinus thrombosis (CVST) in association with a COVID-19 infection have been reported and are limited to acute COVID-19 disease. Hypercoagulable conditions persist in postacute COVID-19 disease, which carries an increased risk of VTE.

Case presentation: We report a case of CVST and stroke 56 days post-COVID-19 infection presenting with an atypical clinical picture.

Discussion: To the best of our knowledge, this is one of the first observations of CVST in the postacute phase of COVID-19 disease. Clinicians should be aware of this potential late complication and should consider appropriate diagnostic imaging techniques in patients with COVID-19-infection history.

Publication types

  • Case Reports

MeSH terms

  • COVID-19* / complications
  • COVID-19* / diagnosis
  • Humans
  • Sinus Thrombosis, Intracranial* / diagnostic imaging
  • Sinus Thrombosis, Intracranial* / drug therapy
  • Sinus Thrombosis, Intracranial* / etiology
  • Stroke* / diagnostic imaging
  • Stroke* / etiology
  • Venous Thromboembolism*
  • Venous Thrombosis* / etiology