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J Stroke Cerebrovasc Dis ; 30(9): 105944, 2021 Sep.
Article in English | MEDLINE | ID: covidwho-1267765

ABSTRACT

Ten days after SARS-Cov2 reinfection with mild gastrointestinal symptoms and headache that occurred 2 months after an initial infection, a previously healthy 37-year-old woman developed fluctuating facial and upper limb paresthesia and weakness. Diffusion-weighted magnetic resonance imaging revealed ischemic lesions in the right parietal region of different stages within the same vascular territory. A cerebral angiography demonstrated an isolated focal arteriopathy with no other arterial involvement. Focal cerebral arteriopathy is exceedingly rare among adults and most commonly triggered by varicella-zoster virus reactivation. We present a case of focal cerebral arteriopathy in a patient with a recent reinfection with SARS-CoV-2.


Subject(s)
COVID-19/complications , Cerebral Arterial Diseases/etiology , Ischemic Stroke/etiology , Reinfection , Adult , COVID-19/diagnosis , COVID-19/virology , Cerebral Angiography , Cerebral Arterial Diseases/diagnostic imaging , Cerebral Arterial Diseases/drug therapy , Diffusion Magnetic Resonance Imaging , Dual Anti-Platelet Therapy , Female , Humans , Ischemic Stroke/diagnostic imaging , Ischemic Stroke/drug therapy , Magnetic Resonance Angiography , Platelet Aggregation Inhibitors/administration & dosage , Tomography, X-Ray Computed , Treatment Outcome
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