Journal article
A Case of COVID-19 With Memory Impairment and Delayed Presentation as Stroke
Curēus (Palo Alto, CA), Vol.12(8), e10025
08/25/2020
DOI: 10.7759/cureus.10025
PMCID: PMC7450886
PMID: 32864278
Abstract
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a respiratory pathogen with remarkable properties of multisystem involvement and numerous complications. The coronavirus disease of 2019 (COVID-19) presenting as stroke is becoming more common. Herein, we describe an unusual case of COVID-19 in a patient who initially presented with myalgia, fatigue, loss of taste and smell, and non-specific memory impairment. Two months after infection with SARS-CoV-2, the patient presented with acute onset of right-sided weakness, sensory loss, and worsening cognitive impairment. Reverse transcriptionpolymerase chain reaction was performed to detect the SARS-CoV-2 virus, and the results were positive at the time of initial infection as well as during the current admission. Neuroimaging suggested a subacute ischemic infarct in the middle cerebral artery. The patient was re-tested for SARS-CoV-2 and found to be positive, but the cycle threshold was high (40.4) along with a positive test for immunoglobulin-G (IgG) for SARS-CoV-2. This report highlights a unique case of stroke-related to COVID-19 infection in a middle-aged woman with otherwise mild symptomatic illness. The patient had a chronic ischemic stroke with delayed presentation two months after the initial symptomatic viral infection. This case underscores the importance of neurological assessment as well as timely evaluation of patients presenting with COVID-19 and any neurological concerns to recognize stroke as a complication of COVID-19 promptly.
Details
- Title: Subtitle
- A Case of COVID-19 With Memory Impairment and Delayed Presentation as Stroke
- Creators
- Alpana Garg - Wayne State UniversityAmin Marji - Wayne State UniversitySachin Goyal - Wayne State UniversityRana Ismail - Wayne State University
- Resource Type
- Journal article
- Publication Details
- Curēus (Palo Alto, CA), Vol.12(8), e10025
- DOI
- 10.7759/cureus.10025
- PMID
- 32864278
- PMCID
- PMC7450886
- NLM abbreviation
- Cureus
- ISSN
- 2168-8184
- eISSN
- 2168-8184
- Publisher
- Cureus Inc
- Number of pages
- 9
- Language
- English
- Date published
- 08/25/2020
- Academic Unit
- General Internal Medicine; Internal Medicine
- Record Identifier
- 9984362340002771
Metrics
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