A 7 years old boy with central vein thrombosis in favor of multisystem inflammatory syndrome: case report

Background: The term "multisystem inflammatory syndrome in children" has been known from the beginning of corona virus pandemic that it refers to systemic inflammation with multisystem involvement. Neurological damage in patients with MISC in various clinical forms has been mentioned in several reports. One of these features is thrombus formation in the central venous sinus; which can be accompanied by complications. It is one of less common complication of MISC that was mentioned before in reports. Case presentation: Here is a 7-year-old male patient with multisystem inflammatory syndrome diagnosis that leads to CNS hemorrhage secondary to CVST . He had loss of consciousness with seizure and suffered from paralysis of the left cranial six nerve and necrotizing pneumonia. He got anti-inflammatory and anti-thrombotic treatment and surgery for lung. He completely recovered after 3 month. Conclusion: This patient has a unique form of MISC complication with CNS sequel followed central sinus vein thrombosis and prolonged time of recovery with complete resolution of symptoms that reminds the importance of multisystem inflammatory syndrome in children again.