The case of a 70-year-old male presenting an ischemic stroke related to COVID-19 infection is described. He was initially admitted to the hospital with respiratory insufficiency syndrome secondary to pneumonia caused by SARS Co2. In the next days, he developed rapid neurological deterioration characterized by drowsiness which progressed to deep coma. D-dimer was elevated. Brain CT scan showed bilateral massive ischemic stroke located in the anterior circulation, CT angiogram showed occlusion in the left internal carotid artery and the right middle cerebral artery. The deterioration of the patient continued and he subsequently died. Large vessel occlusion has been reported in COVID-19 patients, but this clinical presentation is usually unilateral. Cases of bilateral occlusion of large vessels have not been previously reported in COVID-19 patients. This report shows that bilateral massive stroke may occur in COVID-19 cases and it should be suspected in patients who show rapid neurological deterioration without focal deficits.

描述了一名 70 岁男性出现与 COVID-19 感染相关的缺血性中风的病例。他最初因SARS Co2引起的肺炎继发呼吸功能不全综合症入院。在接下来的几天里，他出现了以嗜睡为特征的神经功能迅速恶化，随后发展为深度昏迷。D-二聚体升高。头颅CT扫描显示双侧大面积缺血性卒中位于前循环，CT血管造影显示左侧颈内动脉和右侧大脑中动脉闭塞。患者病情继续恶化，随后死亡。大血管闭塞已在 COVID-19 患者中报告，但这种临床表现通常是单侧的。先前在 COVID-19 患者中未报告过双侧大血管闭塞病例。