Abstract Rationale: This is a case report describing delayed complications of COVID-19 pneumonia, which evolved into the vascular-ischemic complications leading to quadrantanopia and MRI findings consistent with recent ischemic event in the occipital pole of the brain. Patient concerns: We report a case of a 46-year-old woman with quadrantanopia due to stroke confirmed with brain MRI, secondary to COVID-19 infection with chronically elevated D-dimers and treated with anticoagulation/antithrombotic modalities. Quadrantanopia was the only symptom recognized by the patient of a stroke localized in the occipital pole of the brain. Diagnosis: The patient was diagnosed with quadrantanopia due to stroke confirmed with brain MRI, secondary to COVID-19 infection. Intervention: Patient underwent ophthalmological examination and MRI. Outcomes: A thrombotic or ischemic risks in the chronic recovery from COVID-19 should be considered in patients with elevated D-dimers. Lessons: An MRI should be considered as a long term follow up for post-COVID-19 patients reporting ophthalmic or neurologic complains.
【저자키워드】 COVID-19, SARS-CoV-2, thrombosis, stroke, D-dimers, Neuro-ophthalmology, Visual field defect, quadrantanopia, 【초록키워드】 Pneumonia, risk, D-dimer, Symptom, Brain, MRI, Case report, COVID-19 infection, Patient, Complication, thrombotic, complications of COVID-19, neurologic, the patient, diagnosed, elevated, treated, occipital, ophthalmic, post-COVID-19 patient, 【제목키워드】 Symptom, occipital,