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Monocular visual loss as the presenting symptom of COVID-19 infection

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Background and Importance: Additional time is needed to determine the exact impact of COVID-19 on acute cerebrovascular disease incidence, but recently published data has correlated COVID-19 to large vessel occlusion… Click to show full abstract

Background and Importance: Additional time is needed to determine the exact impact of COVID-19 on acute cerebrovascular disease incidence, but recently published data has correlated COVID-19 to large vessel occlusion strokes. Clinical Presentation: We report the first case of central retinal artery occlusion (CRAO) as the initial manifestation of COVID-19 infection. Subsequent neuroimaging revealed a large thrombus extending into the internal carotid artery. Conclusion: This case illustrates the need to suspect COVID-19 infection in patients presenting with retinal arterial occlusion, including individuals who are asymptomatic or minimally symptomatic for COVID-19 infection.

Keywords: monocular visual; loss presenting; infection; presenting symptom; visual loss; covid infection

Journal Title: Clinical Neurology and Neurosurgery
Year Published: 2021

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