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Unilateral internal carotid artery and middle cerebral artery thrombosis in a pediatric patient with mildly symptomatic COVID-19: Case report and literature review

The incidence of ischemic stroke in COVID-19 positive adult cases is between 1-3%. The stroke rate associated with COVID-19 in children is not as common as in adults. The mildness of COVID-19 infection may cause this reason to be overlooked in children presenting with stroke. Here, we present a 13-year-old male case with confusion and right hemiparesis, who was found to have total occlusion in the left ICA and MCA (Figure 1) . In the patient whose risk factor for arterial thrombosis could not be determined, covid19 antibody was positive (13.76 U/ml) due to the history of mild URTI 2 weeks before the stroke. Our case draws attention to the fact that COVID-19 should not be ignored in the etiology of stroke because ICA and MCA thrombosis can develop even in mild covid 19 infection in children. It is recommended to investigate the diagnosis of COVID-19 in children presenting with stroke in the pandemic.
Keywords: COVID-19, Thrombus, Carotid Artery, Childhood