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CASE REPORT
Year : 2021  |  Volume : 20  |  Issue : 4  |  Page : 405-407

Brain perfusion single-photon emission computerized tomography/computerized tomography: Stroke-like manifestations of COVID-19 with transient antiphospholipid elevation


1 Division of Nuclear Medicine, Montefiore Medical Center and the Albert Einstein College of Medicine, New York, USA
2 Department of Diagnostic Radiology, Montefiore Medical Center and the Albert Einstein College of Medicine, New York, USA
3 Department of Medicine, Renal Division, Montefiore Greene Medical Arts Pavilion, New York, USA

Correspondence Address:
Dr. Edgar Zamora
Division of Nuclear Medicine, Montefiore Medical Center and the Albert Einstein College of Medicine, 1695A Eastchester Road, The Bronx, NY, 10461
USA
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DOI: 10.4103/wjnm.wjnm_28_21

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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.


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