Ischemic Stroke following COVID-19 in a Patient without Comorbidities

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...

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Main Authors: Rizaldy Taslim Pinzon, Maria Devita Kumalasari, Hana Kristina
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2021/8178529
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author Rizaldy Taslim Pinzon
Maria Devita Kumalasari
Hana Kristina
author_facet Rizaldy Taslim Pinzon
Maria Devita Kumalasari
Hana Kristina
author_sort Rizaldy Taslim Pinzon
collection DOAJ
description 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.
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spelling doaj-art-5772ab464cc14ecba8762faadf248d282025-08-20T03:33:35ZengWileyCase Reports in Medicine1687-96352021-01-01202110.1155/2021/8178529Ischemic Stroke following COVID-19 in a Patient without ComorbiditiesRizaldy Taslim Pinzon0Maria Devita Kumalasari1Hana Kristina2Duta Wacana Christian University School of MedicineDuta Wacana Christian University School of MedicineDuta Wacana Christian University School of MedicineBackground. 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.http://dx.doi.org/10.1155/2021/8178529
spellingShingle Rizaldy Taslim Pinzon
Maria Devita Kumalasari
Hana Kristina
Ischemic Stroke following COVID-19 in a Patient without Comorbidities
Case Reports in Medicine
title Ischemic Stroke following COVID-19 in a Patient without Comorbidities
title_full Ischemic Stroke following COVID-19 in a Patient without Comorbidities
title_fullStr Ischemic Stroke following COVID-19 in a Patient without Comorbidities
title_full_unstemmed Ischemic Stroke following COVID-19 in a Patient without Comorbidities
title_short Ischemic Stroke following COVID-19 in a Patient without Comorbidities
title_sort ischemic stroke following covid 19 in a patient without comorbidities
url http://dx.doi.org/10.1155/2021/8178529
work_keys_str_mv AT rizaldytaslimpinzon ischemicstrokefollowingcovid19inapatientwithoutcomorbidities
AT mariadevitakumalasari ischemicstrokefollowingcovid19inapatientwithoutcomorbidities
AT hanakristina ischemicstrokefollowingcovid19inapatientwithoutcomorbidities