Successful endovascular mechanical thrombectomy in anticoagulation-resistant COVID-19 associated cerebral venous sinus thrombosis

Abstract

COVID-19 is caused by SARS CoV-2 and can affect various systems of the body including respiratory, neurological, gastrointestinal, haematological and cardiovascular. Neurological manifestations may include stroke, meningoencephalitis, Guillan-Barre syndrome and musculoskeletal disease. We present a case of COVID-19 associated cerebral venous sinus thrombosis in a 29-year-old man, who presented with recurrent seizures and left-sided weakness. He was initially managed with anticoagulation followed by mechanical thrombectomy and showed exquisite response. We have further reviewed in detail similar cases of COVID-19 associated cerebral venous sinus thrombosis that underwent mechanical thrombectomy.