Bilateral carotid artery dissection in a SARS-CoV-2 infected patient: causality or coincidence?
- PDF / 699,214 Bytes
- 3 Pages / 595.276 x 790.866 pts Page_size
- 88 Downloads / 206 Views
LETTER TO THE EDITORS
Bilateral carotid artery dissection in a SARS‑CoV‑2 infected patient: causality or coincidence? Mauro Morassi1 · Barbara Bigni2 · Milena Cobelli1 · Lodoviga Giudice3 · Claudio Bnà4 · Alberto Vogrig5 Received: 4 May 2020 / Revised: 5 June 2020 / Accepted: 8 June 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Dear Sirs, Evidence of cerebrovascular complications associated with SARS-CoV-2 is still limited [1] and the mechanisms of stroke in the context of Covid-19 remain incompletely understood. Herein we report the first case of Covid19–associated bilateral carotid artery dissection (CAD). A 58-year-old man presented to the Emergency Department with fever and mild respiratory symptoms for 1 week associated with intense headache and neck pain (more intense on the left side, with anterior irradiation) which started 2 days before. Previous medical history was remarkable for low-grade oligodendroglioma treated with surgery. His treatment included levetiracetam and lacosamide for glioma-related epilepsy. Neurological evaluation revealed no abnormality. Chest CT showed bilateral ground-glass opacities and consolidations suggestive for Covid-19-related pneumonia (Fig. 1a). Nasopharyngeal swab was positive for SARS-CoV-2 on reverse-transcriptase-polymerasechain-reaction (RT-PCR) assay. Laboratory results showed increased C-reactive protein (45.2 mg/L, n.v.
Data Loading...
