COVID-19 AS A POTENTIAL RISK FACTOR FOR ISCHEMIC STROKE: A CASE REPORT

Orlando Pikatan (Department of Neurology, Wangaya General Regional Hospital, Denpasar, Bali, Indonesia)
Desie Yuliani (Department of Neurology, Wangaya General Regional Hospital, Denpasar, Bali, Indonesia)
I Ketut Sumada (Department of Neurology, Wangaya General Regional Hospital, Denpasar, Bali, Indonesia)
Ni Ketut Candra Wiratmi (Department of Neurology, Wangaya General Regional Hospital, Denpasar, Bali, Indonesia)

Callosum Neurology Journal : Jurnal Berkala Neurologi Bali
Vol 4 No 2 (2021): Callosum Neurology Journal

Background: Corona virus disease 2019 (COVID-19) is a pandemic disease with a wide spectrum of symptoms.  Neurological symptoms are often found in this disease. Stroke on the other hand is a multifactorial disease that can be caused by a lot of underlying problems. Case: We report a case of a 67 years old man with a weakness on the right side that was worsened one day before arrival in hospital and a shortness of breath. the patient had history of stroke before, and controlled hypertension. Head Ct-scan showed a stroke infarct, and Swab RT-PCR showed + SARS-CoV-2. Discussion: Infection may become the risk factor of stroke. inflammatory mediators such as TNF-a , and CRP  support the procoagulant state which leads to stroke. Conclusion: COVID-19 may increase the risk of stroke due to the inflammation state that leads to procoagulant state