PMC10140722_01
CT Angiography shows the free-floating thrombus of the left common carotid artery before (A) and after (C) systemic thrombolytic therapy at a three-day follow-up. Diffusion-weighted imaging showed multilocular cortical ischemic areas in the left ACM territory caused by ruptured thrombus material (B)
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Fig1
A second thrombus was detected within the left ICA (0.3 x 0.3 x 0.4) without stenotic effect (Fig. 1A). Diffusion-based imaging revealed multilocular cortical ischemic areas in the left middle cerebral artery (MCA) territory (Fig. 1B). CT angiographic follow-up imaging three days after admission showed complete lysis of the thrombotic material in the left CCA and ICA bifurcation (Fig. 1C).
Course of stroke, platelet count, and COVID-19 disease progression. SARS-CoV-2 infection was associated with fever and overall weakness for 5 days (full bar). At admission, the platelet count was 892 x 109/l, and the patient tested positive for COVID-19 without any related pulmonary symptoms (transparent bar). The patient had her first positive SARS-CoV-2 test 14 days before the stroke onset
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Fig2
Two months after discharge, the patient's platelet count remained unstable, ranging between 5 and 419 x 109/l (Fig. 2).