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Coexistence Of Corpus Callosum Splenium Infarct And COVID-19 Pneumonia: A Case Report

Year 2024, Volume: 4 Issue: 1, 26 - 29, 22.04.2024
https://doi.org/10.58961/hmj.1431101

Abstract

In this article, we presented our case who developed CC splenium infarction who had COVID-19 pneumonia at the same time.
A 45-year-old male patient with a positive COVID-19 PCR test was admitted to the emergency department with complaints of confusion and loss of direction. He didn’t have a chronic disease, a history of smoking and alcohol abuse. Confusion was found on mental examination. The Splenium of the CC was hyperintense on diffusion-weighted magnetic resonance imaging (MRI) and hypointense on Apparent diffusion coefficient (ADC) sequence.
There are a few case reports in the literature about young patients who do not have known or unexplained cardiovascular risk factors and who have had COVID-19-related pneumonia. We thought that COVID-19 pneumonia might be a triggering factor since infarction of the splenium region of the corpus callosum is rare, the patient is in the young age patient group, and there is no other comorbidity.

References

  • Chakraborty U, Pal J. Corpus Callosum Anatomy and Dysfunction. 2019. p. 3-9.
  • Park SE, Choi DS, Shin HS, Baek HJ, Choi HC, Kim JE, et al. Splenial Lesions of the Corpus Callosum: Disease Spectrum and MRI Findings. Korean J Radiol. 2017;18(4):710-21.
  • Zhang Z, Meng X, Liu W, Liu Z. Clinical Features, Etiology, and 6-Month Prognosis of Isolated Corpus Callosum Infarction. BioMed research international. 2019;2019:9458039.
  • Qureshi AI, Baskett WI, Huang W, Shyu D, Myers D, Raju M, et al. Acute Ischemic Stroke and COVID-19: An Analysis of 27 676 Patients. Stroke. 2021;52(3):905-12.
  • Yaghi S, Ishida K, Torres J, Mac Grory B, Raz E, Humbert K, et al. SARS-CoV-2 and Stroke in a New York Healthcare System. Stroke. 2020;51(7):2002-11
  • Oxley TJ, Mocco J, Majidi S, Kellner CP, Shoirah H, Singh IP, et al. Large-Vessel Stroke as a Presenting Feature of Covid-19 in the Young. The New England journal of medicine. 2020;382(20):e60.
  • Harapan BN, Yoo HJ. Neurological symptoms, manifestations, and complications associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease 19 (COVID-19). Journal of neurology. 2021;268(9):3059-71.

Corpus Callosum Splenium Enfarktının COVID-19 Pnömonisi ile Birlikteliği: Bir Olgu Sunumu

Year 2024, Volume: 4 Issue: 1, 26 - 29, 22.04.2024
https://doi.org/10.58961/hmj.1431101

Abstract

Bu yazıda, COVID-19 pnömonisi olan ve aynı zamanda Corpus Callosum (CC) Splenium enfarktüsü gelişen olgumuzu sunduk.
COVID-19 PCR testi pozitif olan 45 yaş erkek hasta kafa karışıklığı ve yön kaybı şikayetleri ile acil servise başvurdu. Kronik bir hastalığı, sigara ve alkol kullanım öyküsü yoktu. Bilinç muayenesinde karışıklık saptandı. CC'nin Splenium difüzyon ağırlıklı manyetik rezonans görüntülemede (MRI) hiperintens ve ADC sekansında hipointensti. serebrovasküler etiyolojisi araştırıldı, herhangi bir patoloji saptanamadı.
Literatürde bilinen veya açıklanamayan kardiyovasküler risk faktörleri olmayan ve COVID-19 ile ilişkili pnömoni geçirmiş genç hastalarla ilgili birkaç vaka sunumu bulunmaktadır. Bu hastada Corpus Callosumun splenium bölgesinde enfarktüsün nadir görülmesi, hastanın genç yaş hasta grubunda olması ve başka bir komorbidite olmaması nedeniyle COVID-19 pnömonisinin tetikleyici bir faktör olabileceğini düşündük.

References

  • Chakraborty U, Pal J. Corpus Callosum Anatomy and Dysfunction. 2019. p. 3-9.
  • Park SE, Choi DS, Shin HS, Baek HJ, Choi HC, Kim JE, et al. Splenial Lesions of the Corpus Callosum: Disease Spectrum and MRI Findings. Korean J Radiol. 2017;18(4):710-21.
  • Zhang Z, Meng X, Liu W, Liu Z. Clinical Features, Etiology, and 6-Month Prognosis of Isolated Corpus Callosum Infarction. BioMed research international. 2019;2019:9458039.
  • Qureshi AI, Baskett WI, Huang W, Shyu D, Myers D, Raju M, et al. Acute Ischemic Stroke and COVID-19: An Analysis of 27 676 Patients. Stroke. 2021;52(3):905-12.
  • Yaghi S, Ishida K, Torres J, Mac Grory B, Raz E, Humbert K, et al. SARS-CoV-2 and Stroke in a New York Healthcare System. Stroke. 2020;51(7):2002-11
  • Oxley TJ, Mocco J, Majidi S, Kellner CP, Shoirah H, Singh IP, et al. Large-Vessel Stroke as a Presenting Feature of Covid-19 in the Young. The New England journal of medicine. 2020;382(20):e60.
  • Harapan BN, Yoo HJ. Neurological symptoms, manifestations, and complications associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease 19 (COVID-19). Journal of neurology. 2021;268(9):3059-71.
There are 7 citations in total.

Details

Primary Language English
Subjects Neurology and Neuromuscular Diseases
Journal Section Case Report / Case Series
Authors

Burcu Karpuz Seren 0000-0003-3171-1123

Orbay Tutku Seren 0000-0001-9112-8787

Hüseyin Tuğrul Atasoy 0000-0003-1631-7400

Publication Date April 22, 2024
Submission Date February 3, 2024
Acceptance Date March 22, 2024
Published in Issue Year 2024 Volume: 4 Issue: 1

Cite

Vancouver Karpuz Seren B, Seren OT, Atasoy HT. Coexistence Of Corpus Callosum Splenium Infarct And COVID-19 Pneumonia: A Case Report. HMJ. 2024;4(1):26-9.

e-ISSN: 2791-9935