:: Volume 13 - Covid 19 Supplement 2 ::
Caspian J Intern Med 2022, 13 - Covid 19 Supplement 2: 281-283 Back to browse issues page
Bilateral Internal Carotid Artery Dissection as a Possible Complication in a patient with Covid-19 infections and coughing
Mohammad Ghorbani , Abolghasem Mortazavi , Ghazwan Lafta , Mahdi Kadkhodazadeh Asl , Reza Bahrami , Farhad Rahbarian
Division of vascular and Endovascular Neurosurgery, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran , sgmortazavi@gmail.com
Abstract:   (2030 Views)
Background: Cervical carotid dissection is one of the causes of ischemic stroke in young people. Most of the patients with carotid dissection do not have connective tissue diseases (Marfan syndrome, Ehlers-Danlos syndrome). It seems that dissection may occur without an obvious cause or may follow environmental injuries like vigorous neck movements, chiropractic manipulation, emesis, severe coughs, and some infections. We present a case of bilateral carotid dissection in a patient following coronavirus infection and severe coughs.
Case Presentation: A 38-year-old right-handed man presented with recurrent episodes of transient right hemiparesis and aphasia. He had a history of coronavirus infection and severe persistent, nonproductive cough 7 days before the onset of his symptoms. Carotid angiography showed tapered flame-like appearance in proximal segment of left ICA starting about 2 cm distal to the carotid bulb caused complete occlusion of left ICA and in right CCA angiography there is pseudo aneurysm in right cervical ICA just before the Petrous segment. In 3 months in follow up DSA there is evidence of complete occlusion of right pseudo aneurysm and recanalization of left ICA without stenosis.
Conclusion: COVID-19 may have role in the processes that eventually led to CAD
Keywords: Carotid stenting, Cough, dissection, Stroke, COVID-19
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Type of Study: case report | Subject: Neurology
Received: 2021/10/8 | Accepted: 2021/12/29 | Published: 2022/04/6

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Volume 13 - Covid 19 Supplement 2 Back to browse issues page