• Yadira Álvarez Moreno, Janeth Bú Figueroa, Efraín Bú Figueroa, Marco Soto Fonseca, and Javier Escober Torres.
• Instituto Hondureño de Seguridad Social IHSS, Tegucigalpa, Honduras.
• Colomb Medica. 2020 Sep 30; 51 (3): e504560e504560.

Case Description37-year-old female with PCR-RT swab for COVID-19 positive, with neurological manifestation as a result of internal carotid artery occlusion.Clinical FindingsNasal congestion and sneezing of 5 days duration; pulsatile headache in the left hemicranium 3 days prior to admission, with intensity 6/10 according to the visual analogue scale, accompanied by phosphenes, photophobia and diplopia; with subsequent developing right hemiparesis over a 26-hour period.Treatment And ResultShe was given medical management with oral antiplatelet agents and anticoagulants (subcutaneous and oral) during his hospitalization, it was not possible to perform thrombolysis and thrombectomy due to the high risk of complications. He was discharged at 14 days, without functional limitation, symmetrical strength in upper and lower limbs, bilateral visual acuity 20/20, denying headache.Clinical RelevanceThe case presented here describes a pattern in how data supporting an association between COVID-19 and stroke in young populations with or without typical vascular risk factors, sometimes with only mild respiratory symptoms, is increasing. Prospective studies are required to further evaluate this association, as well as anticoagulation studies to prevent these potentially life-threatening events.Copyright © 2020 Colombia Medica.

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