PT  - JOURNAL ARTICLE
AU  - Iskandar Zulqarnain Bin Mohamed
AU  - Laura Balson
AU  - Shyam Madathil
TI  - Massive bilateral stroke in a COVID-19 patient
AID  - 10.1136/bcr-2020-236254
DP  - 2020 Aug 01
TA  - BMJ Case Reports
PG  - e236254
VI  - 13
IP  - 8
4099  - http://casereports.bmj.com/content/13/8/e236254.short
4100  - http://casereports.bmj.com/content/13/8/e236254.full
SO  - BMJ Case Reports2020 Aug 01; 13
AB  - Coronavirus disease 2019 (COVID-19) is a novel infection of which we still have much to learn. Microvascular and macrovascular complications are increasingly recognised as being among the drivers of morbidity and mortality in patients with this condition. Here we present a case of a woman with COVID-19 who suffered massive and bilateral middle cerebral artery strokes, which presented as reduced consciousness several days into admission. Clinicians need to be aware of possible causes of reduced consciousness in COVID-19 patients, particularly as delirium appears to be a common complication, and revisit working diagnoses if the clinical picture does not fully fit. Studies into both anticoagulation and the management of stroke in the context of COVID-19 are urgently needed to help inform future practice.