Monocular visual loss as the presenting symptom of COVID-19 infection

被引:24
作者
Murchison, Ann P. [1 ,4 ]
Sweid, Ahmad [2 ]
Dharia, Robin [3 ]
Theofanis, Thana N. [2 ]
Tjoumakaris, Stavropoula, I [2 ]
Jabbour, Pascal M. [2 ]
Bilyk, Jurij R. [4 ]
机构
[1] Thomas Jefferson Univ Hosp, Dept Emergency Med, Eye Emergency Room, Philadelphia, PA 19107 USA
[2] Thomas Jefferson Univ Hosp, Dept Neurol Surg, Philadelphia, PA 19107 USA
[3] Thomas Jefferson Univ Hosp, Dept Neurol, Philadelphia, PA 19107 USA
[4] Wills Eye Hosp & Res Inst, Oculoplast & Orbital Surg Serv, Philadelphia, PA USA
关键词
COVID-19; SARS-CoV-2; Central nervous system; Cerebrovascular disease; Central retinal artery occlusion; OCCLUSION;
D O I
10.1016/j.clineuro.2020.106440
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background and Importance: Additional time is needed to determine the exact impact of COVID-19 on acute cerebrovascular disease incidence, but recently published data has correlated COVID-19 to large vessel occlusion strokes. Clinical Presentation: We report the first case of central retinal artery occlusion (CRAO) as the initial manifestation of COVID-19 infection. Subsequent neuroimaging revealed a large thrombus extending into the internal carotid artery. Conclusion: This case illustrates the need to suspect COVID-19 infection in patients presenting with retinal arterial occlusion, including individuals who are asymptomatic or minimally symptomatic for COVID-19 infection.
引用
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页数:4
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