Abstract

The article describes a clinical case of a dissecting basilar artery aneurysm in a patient with SARS-CoV-2. The patient was treated in the infectious diseases hospital for bilateral polysegmental pneumonia on the background of COVID-19. Suddenly, a focal neurological deficit occurred and grew in dynamics in the form of abducens nerve paresis, bulbar disorders, and right-sided hemiparesis. MSCT and MSCT-angiography were performed in dynamics. During the first examination, the pathology of the cerebral vessels was not revealed, but 10 days later, there was detected a fusiform aneurysm of the basilar artery with a diverticulum, the rupture of which led to massive hemorrhage and an unfavorable treatment outcome. The patient's primary symptomatology could be due to impaired blood flow in the perforating branches in the area of the started dissection of the basilar artery.

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