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- Title
Brain perfusion single-photon emission computerized tomography/computerized tomography: Stroke-like manifestations of COVID-19 with transient antiphospholipid elevation.
- Authors
Chun, Kwang; Zamora, Edgar; Coco, Maria
- Abstract
COVID-19 is a viral respiratory disease associated with neurologic complications such as encephalitis or stroke in a minority of patients. The wide variety of neurologic manifestations with often unclear etiology may confound diagnosis and management. We present a young man admitted following an 8-day onset of self-resolving episodes of left hemiplegia and hemifacial droop. Diagnostic work up for seizures and stroke was largely negative. "Intra-ictal" ECD-single-photon emission computerized tomography/computerized tomography was consistent with right middle cerebral artery ischemia. Subsequent diagnostic work up revealed positive COVID-19 screening and newly-elevated antiphospholipid antibodies. Antiepileptic medications were discontinued, and the patient was successfully treated as an outpatient with corticosteroids leading to resolution of symptoms.
- Subjects
COMPUTED tomography; ANTIPHOSPHOLIPID syndrome; COVID-19; HYPERPERFUSION; SARS-CoV-2; TOMOGRAPHY; SYMPTOMS
- Publication
World Journal of Nuclear Medicine, 2021, Vol 20, Issue 4, p405
- ISSN
1450-1147
- Publication type
Case Study
- DOI
10.4103/wjnm.wjnm_28_21