With the reality of the pandemic by COVID-19 extending to alarming levels, the coexistence forced by the need for social withdrawal, We observe the difficulty of maintaining mental stability increasingly discussed. The fear of contracting the disease, as well as thinking about its consequences, makes the population anxious. In this sense, age presents itself as the major risk factor for more severe manifestations of the disease, hence, elderly people are at greater vulnerability for the development of psychological and psychiatric disorders. It is important to ask how our elderly people are living, if a pandemic scenario would really be necessary for the population in question to have visibility. Talking about the health of the elderly both mentally and physically is everyone's duty. In any circumstance, it is up to society to ensure that they can live with health, vitality and the quality of life that every human being deserves.
SARS-CoV-2 infection has had a major impact on global health, affecting from the respiratory system to the central nervous system, generating a wide spectrum of clinical manifestations. Stroke has been reported in the recent literature when addressing the neurological repercussions in patients affected by COVID-19, with unfavorable outcomes when compared to those not infected by SARS-CoV-2. There are multiple theories that try to elucidate neural clinical manifestations, from hematogenous infection to direct entry through the cribiform blade. This article shows a case report of a patient with COVID-19 and neurological involvement with diagnostic hypotheses of acute necrotizing encephalopathy, a rare post-viral infection condition in adults and ischemic stroke with subsequent hemorrhagic transformation, correlating the aspects observed in the image and in the patient's clinic with the current literature and theories.
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