PMC7593446_01
CT chest showing typical BL ground glass opacifications in lungs: a hallmark of SARS-CoV-2 infection.
fmed-07-574690-g0001.jpg
PMC7593446_01_fmed-07-574690-g0001.jpg
F1
Computed tomography of the chest showed interstitial infiltrate dictating the severity of the patient (Figure 1).
MRA neck showing patent circulations of carotid arteries.
fmed-07-574690-g0002.jpg
PMC7593446_01_fmed-07-574690-g0002.jpg
F2
The results of the magnetic resonance angiography (MRA) of the neck (Figure 2), echocardiography, and cerebrospinal fluid (CSF) analysis was unremarkable; however, MRA of the head (Figure 3) and a non-contrast MRI of the brain (Figure 4) showed multiple foci of restricted diffusion within the pons, compatible with acute infarcts.
MRA brain with occluded right vertebral artery and patent basilar artery.
fmed-07-574690-g0003.jpg
PMC7593446_01_fmed-07-574690-g0003.jpg
F3
The results of the magnetic resonance angiography (MRA) of the neck (Figure 2), echocardiography, and cerebrospinal fluid (CSF) analysis was unremarkable; however, MRA of the head (Figure 3) and a non-contrast MRI of the brain (Figure 4) showed multiple foci of restricted diffusion within the pons, compatible with acute infarcts. As shown (Figure 3), there was a decreased flow in the distal right vertebral artery suspicious of blood vessel occlusion. Basilar artery is patent on the MRA (Figure 3). Given the bilateral nature of acute pontine central infarct as shown in MRI (Figure 3), the culprit basilar thrombus originated from the occluded right vertebral artery, was stuck for a time being in the basilar artery, lead to bilateral stroke, and resolved later (Figure 3).
MRI brain (cross-section at pons) consistent with acute infarct of pons.
fmed-07-574690-g0004.jpg
PMC7593446_01_fmed-07-574690-g0004.jpg
F4
The results of the magnetic resonance angiography (MRA) of the neck (Figure 2), echocardiography, and cerebrospinal fluid (CSF) analysis was unremarkable; however, MRA of the head (Figure 3) and a non-contrast MRI of the brain (Figure 4) showed multiple foci of restricted diffusion within the pons, compatible with acute infarcts.