A case of anterior cerebral artery infarction stemming from arterial dissection was observed in a pregnant COVID-19 patient

Authors

  • Chan Hyun Lee Department of Neurology, Institute of Health Science, Gyeongsang National University Hospital and Collage of Medicine, Jinju, Korea
  • Chang Hun Kim Gyeongsang National University Hospital and Collage of Medicine, Jinju, Korea https://orcid.org/0000-0003-1895-1595
  • Nack-Cheon Choi Gyeongsang National University Hospital and Collage of Medicine, Jinju, Korea
  • Soo-Kyoung Kim Gyeongsang National University Hospital and Collage of Medicine, Jinju, Korea https://orcid.org/0000-0003-0994-8503

DOI:

https://doi.org/10.54029/2025nts

Keywords:

Coronavirus disease 2019 (COVID-19), Acute cerebral infarction, Anterior cerebral artery, craniocervical artery dissection, pregnancy

Abstract

A 34-year-old pregnant woman at 18 weeks gestation presented with left hemiparesis and speech difficulties following a COVID-19 infection. Neuroimaging revealed acute infarcts in the right anterior cerebral artery (ACA) territory with subtle subarachnoid hemorrhage. Follow-up imaging confirmed right ACA dissection. The patient's medical history included diabetes, hypertension, and previous pre-eclampsia. Strict blood pressure management and intensive physical therapy led to improved neurological outcomes. This case highlights the potential link between COVID-19 infection, arterial dissection, and stroke risk in pregnant patients with pre-existing vascular risk factors. It underscores the importance of rigorous blood pressure control and infection management during pregnancy, especially in the context of COVID-19.

Published

2025-06-27

Issue

Vol. 30 No. 2 (2025)

Section

Correspondence