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COVID-19-Associated Cerebral Developmental Venous Anomaly Thrombosis With Hemorrhagic Transformation

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A 35-year-old man with a 1-week history of fever, cough, and myalgias presented with left hemiparesis and seizures requiring intubation. A COVID-19 polymerase chain reaction test was positive. No other… Click to show full abstract

A 35-year-old man with a 1-week history of fever, cough, and myalgias presented with left hemiparesis and seizures requiring intubation. A COVID-19 polymerase chain reaction test was positive. No other thrombotic risk factors were identified. Neuroimaging demonstrated right-sided intracerebral hemorrhages associated with a thrombosed developmental venous anomaly (Figure 1). Computed tomography venography showed thrombus within a dilated caput medusae venous trunk (Figure 2A). He was started on heparin infusion but worsened neurologically with expanding hematoma. He underwent emergency decompressive

Keywords: covid associated; developmental venous; venous anomaly; associated cerebral

Journal Title: Stroke
Year Published: 2022

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