Background: Of the many complications associated with COVID-19 infection, hypercoagulable states with subsequent thrombosis are some of the most feared implications. When trying to uncover a potential relationship between COVID-19 infection and risk for cerebrovascular ischemic events, knowing whether there is an increased risk for these events in those with other respiratory viral pathogens at […]

Case Presentation: A 54-year-old female with essential hypertension, hyperlipidemia, hypothyroidism and MGUS presented to Wheeling Hospital complaining of weakness, dyspnea on exertion and right lower extremity pain for two weeks. Patient was treated for a right gastrocnemius DVT, acute SARS-CoV-2 pneumonia and pulmonary emboli in right middle and lower lobe pulmonary artery branches with smaller […]

Case Presentation: The patient is a 53-year-old female with a past medical history of thrombotic thrombocytopenic purpura (TTP), asplenia, hypertension, hepatitis C, patent foramen ovale with closure, and multiple strokes who presented to our institution with a three-day history of dysequilibrium and nausea. The patient’s TTP was initially diagnosed at 19 years of age during […]

Background: COVID-19 cases first emerged in China in December 2019. An air of fear and anxiety engulfed the globe as it rapidly spread across borders affecting the entire human race. Media outlets started reporting information containing rising death tolls and horrific visuals generating a global hysteria(1). Stress is a well-known trigger for acute coronary syndromes […]

Case Presentation: A 61-year-old female awoke one morning to thirty minutes of right sided weakness and slurred speech prompting hospital admission for stroke. Treatment with metronidazole and ciprofloxacin for colitis diagnosed two days ago was continued in hospital. Diffusion weighted imaging (DWI) of the brain MRI revealed infarctions in multiple vascular territories involving bilateral cerebral […]

Case Presentation: 56-year-old woman presented with fluctuating sensorium for 5 days and left side weakness of one day duration. She has past medical history of hypothyroidism and hyperlipidemia. Her home medications included levothyroxine and atorvastatin. She received two doses of mRNA-1273 vaccine, with first dose being around 12 weeks before presentation and second dose 8 […]

Case Presentation: A 76-year-old female with past medical history of hypertension, recent intracranial hemorrhage (ICH) in the left cerebellar hemisphere with subsequent craniotomy, and newly found 6.5 mm aneurysm in the right middle cerebral artery (MCA) was directly admitted for an elective diagnostic cerebral angiogram to further evaluate her aneurysm. At baseline, patient was alert […]

Case Presentation: A 46-year-old white male with a history of prior MI (at age 37) presented to ED with left-sided weakness, facial droop, and decreased left-arm sensation. He did not have a history of obesity, hypertension, smoking, excess alcohol consumption, or hyperlipidemia but had a family history of a sister who had a stroke in […]

Case Presentation: A 35-year-old man presented to ED with sudden onset weakness on left hand. He denied fever, dizziness, headache, and similar symptoms in the past. He doesn’t take any medication. He had upper respiratory symptoms two weeks ago and resolved. He has not received influenza and COVID-19 vaccine. Examination showed diminished power (4/5) in […]

Case Presentation: An 85-year-old male with a history of untreated hypertension, on aspirin, presented to the emergency department with transient right upper and lower extremity weakness. Upon presentation the National Institutes of Health (NIH) Stroke Scale was 0. Symptoms had started three days prior with right leg weakness which resolved after a few minutes of […]