Late-post-COVID-19 cerebral venous sinus thrombosis and stroke: a case report

• Published in: Journal of cardiovascular medicine (Hagerstown, Md.) Vol. 24; no. 1; pp. 72 - 74
• Main Authors: Cmor, Nino, Dora, Eva, Rajtman, Darko, Tibaut, Miha, Horvat, Sabina, Zver, Janja, Lainscak, Mitja
• Format: Journal Article
• Language: English
• Published: United States Lippincott Williams & Wilkins 01-01-2023
• Subjects: COVID-19 - complications; COVID-19 - diagnosis; Humans; Images in Cardiovascular Medicine; Sinus Thrombosis, Intracranial - diagnostic imaging; Sinus Thrombosis, Intracranial - drug therapy; Sinus Thrombosis, Intracranial - etiology; Stroke - diagnostic imaging; Stroke - etiology; Venous Thromboembolism; Venous Thrombosis - etiology
• ISSN: 1558-2027; 1558-2035
• DOI: 10.2459/JCM.0000000000001400

Coronavirus disease 2019 (COVID-19) disease increases risk of venous thromboembolisms (VTE), primarily deep vein thrombosis and pulmonary embolism. Only a few cases of cerebral venous sinus thrombosis (CVST) in association with a COVID-19 infection have been reported and are limited to acute COVID-19 disease. Hypercoagulable conditions persist in postacute COVID-19 disease, which carries an increased risk of VTE.
We report a case of CVST and stroke 56 days post-COVID-19 infection presenting with an atypical clinical picture.
To the best of our knowledge, this is one of the first observations of CVST in the postacute phase of COVID-19 disease. Clinicians should be aware of this potential late complication and should consider appropriate diagnostic imaging techniques in patients with COVID-19-infection history.