tetano
Editor, Senior Moderator
Childs Nerv Syst
. 2021 Jun 26.
doi: 10.1007/s00381-021-05273-x. Online ahead of print.
Malignant cerebral infarction associated with COVID-19 in a child
Maria Rosaria Scala[SUP] 1 2 [/SUP], Pietro Spennato[SUP] 3 [/SUP], Domenico Cicala[SUP] 4 [/SUP], Veronica Piccolo[SUP] 5 [/SUP], Antonio Varone[SUP] 6 [/SUP], Giuseppe Cinalli[SUP] 1 [/SUP]
Affiliations
Abstract
Neurological manifestations, such as encephalitis, meningitis, ischemic, and hemorrhagic strokes, are reported with increasing frequency in patients affected by Coronavirus disease 2019 (COVID-19). In children, acute ischemic stroke is usually multifactorial: viral infection is an important precipitating factor for stroke. We present a case of a child with serological evidence of SARS-CoV-2 infection whose onset was a massive right cerebral artery ischemia that led to a malignant cerebral infarction. The patient underwent a life-saving decompressive hemicraniectomy, with good functional recovery, except for residual hemiplegia. During rehabilitation, the patient also developed a lower extremity peripheral nerve neuropathy, likely related to a long-Covid syndrome.
Keywords: Acute ischemic stroke; Decompressive craniectomy; Long-Covid syndrome; Peripheral nerve neuropathy.
. 2021 Jun 26.
doi: 10.1007/s00381-021-05273-x. Online ahead of print.
Malignant cerebral infarction associated with COVID-19 in a child
Maria Rosaria Scala[SUP] 1 2 [/SUP], Pietro Spennato[SUP] 3 [/SUP], Domenico Cicala[SUP] 4 [/SUP], Veronica Piccolo[SUP] 5 [/SUP], Antonio Varone[SUP] 6 [/SUP], Giuseppe Cinalli[SUP] 1 [/SUP]
Affiliations
- PMID: 34175976
- DOI: 10.1007/s00381-021-05273-x
Abstract
Neurological manifestations, such as encephalitis, meningitis, ischemic, and hemorrhagic strokes, are reported with increasing frequency in patients affected by Coronavirus disease 2019 (COVID-19). In children, acute ischemic stroke is usually multifactorial: viral infection is an important precipitating factor for stroke. We present a case of a child with serological evidence of SARS-CoV-2 infection whose onset was a massive right cerebral artery ischemia that led to a malignant cerebral infarction. The patient underwent a life-saving decompressive hemicraniectomy, with good functional recovery, except for residual hemiplegia. During rehabilitation, the patient also developed a lower extremity peripheral nerve neuropathy, likely related to a long-Covid syndrome.
Keywords: Acute ischemic stroke; Decompressive craniectomy; Long-Covid syndrome; Peripheral nerve neuropathy.