id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-318979-1t68f5pp	Kihira, Shingo	Fatal cerebral infarct in a child with COVID-19	2020-07-23		.txt	text/plain	335	30	44	key: cord-318979-1t68f5pp title: Fatal cerebral infarct in a child with COVID-19 cord_uid: 1t68f5pp Over the next 4 days his condition improved. Emergent decannulation was performed and a head CT (Fig. 1 ) revealed a large acute right anterior and middle cerebral artery territory infarction and subarachnoid hemorrhage in the left hemisphere. Neurologic exam demonstrated Fig. 1 Axial non-contrast head CT in a 5-year-old boy with recent COVID-19 infection demonstrates massive right anterior and middle cerebral artery infarction (asterisk) and subarachnoid hemorrhage in the left hemisphere (arrows) absent corneal, gag and pupillary responses and no movement to painful stimuli. This is an unfortunate case of a healthy 5-year-old boy with COVID-19 infection complicated by cardiogenic shock and hypercoagulable state. The combination of cardiogenic shock and hypercoagulable state presumably contributed to the massive cerebral infarction, with the contributing role of ECMO cannulation uncertain. Hypercoagulability of COVID-19 patients in intensive care unit.	./cache/cord-318979-1t68f5pp.txt	./txt/cord-318979-1t68f5pp.txt