a massive stroke in a pregnant woman following covid-19 infection: a case report

Background and aims: covid-19 infection increases the risk of pathological thrombotic events in venous and arterial circulation. covid-19 patients are reported, a wide range of neurovascular symptoms is highlighted, such as cerebral vascular accidence. this study aimed to report a massive stroke in a pregnant woman with covid-19 infection. case report: we report a 41-year-old pregnant woman, gravid 5 para 2 living 2 abortion 2 at gestational age 22 weeks and 4 days with covid-19 infection, which developed into a massive stroke in the basilar artery despite receiving a therapeutic dosage of enoxaparin sodium. conclusion: the possibility of thrombosis should be considered in covid-19 patients with symptoms indicating an increase in intracranial pressure (icp) such as decreased consciousness, strabismus, and agitation. considering the higher risk of thrombotic events in covid-19 patients, cerebral venous sinus thrombosis (cvst) could be a possible consequence . thus, the precise observation of neurologic manifestations in covid-19 patients, especially in pregnant women, is recommended.