Bhattarai, SujuKarki, BipinPokhrel, ShwetaRegmi, SachitShrestha, BibekShrestha, Pramesh Sunder2026-02-102026-02-102022https://hdl.handle.net/20.500.14572/4623Suju Bhattarai Department of Critical Care Medicine, Om Hospital and Research Center, Chabahil, Kathmandu, Nepal Bipin Karki Department of Critical Care Medicine, Om Hospital and Research Center, Chabahil, Kathmandu, Nepal https://orcid.org/0000-0001-6218-9716 Shweta Pokhrel Department of Critical Care Medicine, Om Hospital and Research Center, Chabahil, Kathmandu, Nepal Sachit Regmi Department of Critical Care Medicine, Om Hospital and Research Center, Chabahil, Kathmandu, Nepal Bibek Shrestha Department of Critical Care Medicine, Om Hospital and Research Center, Chabahil, Kathmandu, Nepal Pramesh Sunder Shrestha Department of Anaesthesiology, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Kathmandu, NepalAbstract: Influenza has a common occurrence during its peak seasons. It usually causes disease of the respiratory tract including severe acute respiratory distress syndrome. However, it may also cause disease and complication of other organ systems. We present a rare complication of influenza in which a patient secondary to influenza developed massive middle cerebral artery ischemic stroke. The patient however survived following recovery of both severe acute respiratory distress syndrome and ischemic stroke after decompressive craniectomy and a prolonged intensive care unit stay. This case report is to highlight the importance of influenza related complications besides the pulmonary infliction which can lead to morbidity and even mortality if not managed on time.en-USacute respiratory distress syndromedecompressive craniotomyinfluenzastrokeArticle