Article ID: cr.2021-0035
Objective: We report a case of endovascular treatment for ischemic intracranial internal carotid artery dissection in a patient with COVID-19.
Case Presentation: A male in his 20s presented with a disturbance of consciousness, right hemiplegia, and aphasia. MRI showed cerebral infarction in the left cerebral hemisphere due to intracranial left internal carotid artery dissection. The patient was diagnosed with COVID-19 because of positive SARS-CoV-2 antigen on admission, and antithrombotic therapy was started in a COVID-19 dedicated bed. On the third day, the cerebral infarction progressed, and emergency intracranial stent placement was performed for internal carotid artery reconstruction.
Conclusion: Arterial dissection may be one of the complications of COVID-19 associated with endothelial dysfunction caused by SARS-CoV-2. Medical therapy is preferred in the treatment of ischemic intracranial carotid artery dissection; however, endovascular treatment is effective when symptoms worsen.
