バセドウ病,IgG4 関連眼疾患を有し COVID-19 回復後に一過性脳虚血発作を呈した脳静脈洞血栓症:症例報告

Translated title of the contribution: Cerebral venous sinus thrombosis presenting transient ischemic attack after recovery from COVID-19 with Graves’ disease and IgG4-related ophthalmic disease: a case report

Shuhei Egashira, Takeshi Yoshimoto, Kanta Tanaka, Naruhiko Kamogawa, Masayuki Shiozawa, Junpei Koge, Kazunori Toyoda, Masatoshi Koga

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

A 57-year-old man presented with headache, transient right upper extremity weakness and numbness one month after recovery from coronavirus disease 2019 (COVID-19). His medical history included Graves’ disease and IgG4-related ophthalmic disease. He had been administered prednisolone. His weakness and numbness were transient and not present on admission. Contrast-enhanced CT and MRI of the head showed thrombi in the superior sagittal sinus, right transverse sinus, sigmoid sinus, and the right internal jugular vein. Digital subtraction angiography showed occlusion at the same sites and mild perfusion delay in the left frontoparietal lobe. We diagnosed the patient with cerebral venous sinus thrombosis and treated him with anticoagulation. The thrombi partially regressed three months later, and perfusion delay became less noticeable. Cerebral venous sinus thrombosis is an important complication of COVID-19. Patients with predisposing factors, including Graves’ disease and IgG4-related ophthalmic disease, may be at increased risk of developing cerebral venous sinus thrombosis even after recovery from COVID-19.

Translated title of the contributionCerebral venous sinus thrombosis presenting transient ischemic attack after recovery from COVID-19 with Graves’ disease and IgG4-related ophthalmic disease: a case report
Original languageJapanese
Pages (from-to)928-934
Number of pages7
JournalClinical Neurology
Volume62
Issue number12
DOIs
Publication statusPublished - 03-2022
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Clinical Neurology

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