Cerebellar infarction requiring surgical decompression in patient with COVID 19 pathological analysis and brief review.

ABSTRACT:

Background

This report and literature review describes a case of a COVID-19 patient who suffered a cerebellar stroke requiring neurosurgical decompression. This is the first reported case of a sub-occipital craniectomy with brain biopsy in a COVID-19 patient showing leptomeningeal venous intimal inflammation.

Clinical description

The patient is a 48-year-old SARS-COV-2 positive male with multiple comorbidities, who presented with fevers and respiratory symptoms, and imaging consistent with multifocal pneumonia. On day 5 of admission, the patient had sudden change in mental status, increased C-Reactive Protein, ferritin and elevated Interleukin-6 levels. Head CT showed cerebral infarction from vertebral artery occlusion. Given subsequent rapid neurologic decline from cerebell

SUBMITTER: Patel HN 

PROVIDER: S-EPMC7387273 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature