Table 1.
Author | Age and gender | Presenting symptoms | Duration between vaccination and symptom onset | Administered vaccine | Lowest platelet count (109/L) | Clotting screen on admission | Peak D-Dimer levels | PF4 antibody ELISA | Neuroimaging findings | Extracranial thrombosis | Treatment | Residual neurologic deficits |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Our case report | 28 M | Headache Blurry vision Diplopia Photophobia | 10 days | Ad26.COV2.S | 63 | PT: 18.3 INR: 1.5 APTT: 36.3 | 22 546 | Positive | Thrombosis of superior sagittal and right transverse sinuses, and right IJV | Right segmental and subsegmental PE, Right hepatic vein thrombosis | Argatroban, dabigatran, and IVIG | Recovery with no residual neurologic deficits |
Graf | 29 M | Headache Aphasia Apraxia | 9 days | ChAdOx1 nCoV-19 | 32 | NA | 65.7 | NA | Left transverse, sigmoid sinuses and IJV thrombosis, Temporo-parietal ICH | Mesenteric and portal vein thrombosis | Argatroban and IVIG | Aphasia improved |
Soleimani | 34 M | Headache Photophobia Hemiparesis | 13 days | ChAdOx1 nCoV-19 | 23 | PT: 14.8 INR: 1.5 APTT: 23.9 | 37 293 | Positive | Superior sagittal, bilateral transverse sinuses, and left vein of Trolard thrombosis, Right sided midline shit and uncal herniation | Right lower lobe segmental PE | PLEX, IVIG, argatroban, decompressive hemicraniectomy | Right hemiparesis and aphasia |
Soleimani | 59 F | Headache Hemiparesis Sensory loss Neglect Seizure | 14 days | ChAdOx1 nCoV-19 | 18 | PT: 14.5 INR: 1.2 APTT: 24.4 | 38 588 | Positive | Superior sagittal and right transverse sinus thrombosis, Frontal hematoma and midline shift. | Thrombosed right hepatic vein and right lower lobe pulmonary emboli | IVIG, IVSM, argatroban, and decompressive hemicraniectomy | Left hemiparesis |
Soleimani | 39 F | Headache Photophobia | 10 days | ChAdOx1 nCoV-19 | 63 | PT: 15.1 INR: 1.1 APTT: 33.2 | 20 289 | Negative | Left transverse, sigmoid, and sagittal sinuses and jugular venous thrombosis | None | IVSM, PLEX and argatroban | None |
Zanferrari | 40 F | Headache Aphasia Hemiparesis | 8 days | ChAdOx1 nCoV-19 | 27 | APTT: 24.9 | 27 546 | Positive | Left sigmoid, transverse rectus and inferior longitudinal sinuses thrombosis | None | Fondaparinux and IVIG | None |
Castelli | 50 M | Headache Vision loss Hemiparesis | 11 days | ChAdOx1 nCoV-19 | 20 | NA | >10 000 | Negative | Left hemisphere ICH, and lack of opacification of the left transverse and sigmoid sinuses, Uncal herniation | None | Bilateral decompressive craniectomy | Death |
De Michele | 57 W | Hemiparesis Gaze deviation Dysarthria Neglect | 9 days | ChAdOx1 nCoV-19 | 23 | NA | elevated | Positive | Right MCA infarct | None | IV steroids IVIG Decompressive craniectomy | Critical condition |
De Michele | 55 W | Aphasia Hemiparesis Seizures Coma Abdominal pain | 10 days | ChAdOx1 nCoV-19 | 59 | NA | elevated | Positive | Right ICA and bilateral MCA occlusion, Uncal herniation | Portal vein thrombosis, Left lower lobe subsegmental PE | IVIG, and IV steroid | Death |
(Continued)