Malignant cerebral infarction after COVID-19 myocarditis in 22-year-old female: a case report

Background Ischemic stroke is one of the serious neurological complications of coronavirus disease 2019 (COVID-19). However, ischemic stroke can develop secondary complications after cardiac involvement in COVID-19. Case Report We report the case of a 22-year-old patient who presented with malignant...

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Main Authors: Seo Hyeon Lee, Young Seok Jeong, Chang-Hyun Kim, Jeong-Ho Hong, Sung-Il Sohn, Hyungjong Park
Format: Article
Language:English
Published: The Korean Neurocritical Care Society 2022-06-01
Series:Journal of Neurocritical Care
Subjects:
Online Access:http://e-jnc.org/upload/pdf/jnc-220049.pdf
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author Seo Hyeon Lee
Young Seok Jeong
Chang-Hyun Kim
Jeong-Ho Hong
Sung-Il Sohn
Hyungjong Park
author_facet Seo Hyeon Lee
Young Seok Jeong
Chang-Hyun Kim
Jeong-Ho Hong
Sung-Il Sohn
Hyungjong Park
author_sort Seo Hyeon Lee
collection DOAJ
description Background Ischemic stroke is one of the serious neurological complications of coronavirus disease 2019 (COVID-19). However, ischemic stroke can develop secondary complications after cardiac involvement in COVID-19. Case Report We report the case of a 22-year-old patient who presented with malignant cerebral infarction 10 months after COVID-19-related myocarditis. A 22-year-old woman was referred to the emergency room because of abnormal mental status changes. She developed heart failure and arrhythmia after COVID-19-related myocarditis. Brain magnetic resonance imaging (MRI) revealed high signal intensity on diffusion-weighted imaging that was indicative of acute cerebral infarction in the left middle cerebral artery (MCA) and left anterior cerebral artery (ACA) territory. In addition, occlusion of both the left MCA and ACA was observed on brain MRI. Craniectomy with therapeutic hypothermia was performed to treat the cerebral edema. Conclusion This case suggests that caution is needed in survivors with secondary complications after COVID-19.
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spelling doaj.art-30f056da3988462cbf0ad1e925375a8c2022-12-22T02:44:12ZengThe Korean Neurocritical Care SocietyJournal of Neurocritical Care2005-03482508-13492022-06-01151656810.18700/jnc.220049365Malignant cerebral infarction after COVID-19 myocarditis in 22-year-old female: a case reportSeo Hyeon Lee0Young Seok Jeong1Chang-Hyun Kim2Jeong-Ho Hong3Sung-Il Sohn4Hyungjong Park5 Department of Neurology, Keimyung University School of Medicine, Daegu, Korea Department of Neurology, Keimyung University School of Medicine, Daegu, Korea Department of Neurosurgery, Keimyung University School of Medicine, Daegu, Korea Department of Neurology, Keimyung University School of Medicine, Daegu, Korea Department of Neurology, Keimyung University School of Medicine, Daegu, Korea Department of Neurology, Keimyung University School of Medicine, Daegu, KoreaBackground Ischemic stroke is one of the serious neurological complications of coronavirus disease 2019 (COVID-19). However, ischemic stroke can develop secondary complications after cardiac involvement in COVID-19. Case Report We report the case of a 22-year-old patient who presented with malignant cerebral infarction 10 months after COVID-19-related myocarditis. A 22-year-old woman was referred to the emergency room because of abnormal mental status changes. She developed heart failure and arrhythmia after COVID-19-related myocarditis. Brain magnetic resonance imaging (MRI) revealed high signal intensity on diffusion-weighted imaging that was indicative of acute cerebral infarction in the left middle cerebral artery (MCA) and left anterior cerebral artery (ACA) territory. In addition, occlusion of both the left MCA and ACA was observed on brain MRI. Craniectomy with therapeutic hypothermia was performed to treat the cerebral edema. Conclusion This case suggests that caution is needed in survivors with secondary complications after COVID-19.http://e-jnc.org/upload/pdf/jnc-220049.pdfcovid-19myocarditisischemic strokecase report
spellingShingle Seo Hyeon Lee
Young Seok Jeong
Chang-Hyun Kim
Jeong-Ho Hong
Sung-Il Sohn
Hyungjong Park
Malignant cerebral infarction after COVID-19 myocarditis in 22-year-old female: a case report
Journal of Neurocritical Care
covid-19
myocarditis
ischemic stroke
case report
title Malignant cerebral infarction after COVID-19 myocarditis in 22-year-old female: a case report
title_full Malignant cerebral infarction after COVID-19 myocarditis in 22-year-old female: a case report
title_fullStr Malignant cerebral infarction after COVID-19 myocarditis in 22-year-old female: a case report
title_full_unstemmed Malignant cerebral infarction after COVID-19 myocarditis in 22-year-old female: a case report
title_short Malignant cerebral infarction after COVID-19 myocarditis in 22-year-old female: a case report
title_sort malignant cerebral infarction after covid 19 myocarditis in 22 year old female a case report
topic covid-19
myocarditis
ischemic stroke
case report
url http://e-jnc.org/upload/pdf/jnc-220049.pdf
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