Case Report
Year 2023,
Volume: 40 Issue: 4, 801 - 803, 03.01.2024
Abstract
Pregnancy and postpartum periods are prone to thrombotic events rather than hemorrhages. Also, neurological manifestations of COVID-19 include ischemic events and associated hemorrhages more frequently compared to spontaneous hemorrhages. To date, no spontaneous intracerebral hemorrhage has been described in the postpoartum period in a COVID-19 patient. A 26-year-old pregnant with diabetes mellitus was diagnosed and treated with COVID-19 following delivery. On the 8th day of treatment, she had a loss of consciousness. Emergent computerized tomography revealed a hemorrhage in right basal ganglion and inside the ventricles. The hematoma was evacuated and a ventricular catheter was placed through a mini burr craniotomy. Hemorrhage was resolved, but she remained tetraplegic. Intracerebral hemorrhage may occur in COVID-19 patients during postpartum which is a period where prothrombotic events are expected. Surgical evacuation and intraventricular catheters may be life-savers in these patients.
References
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Year 2023,
Volume: 40 Issue: 4, 801 - 803, 03.01.2024
Abstract
References
- 1. Dong S, Liu P, Luo Y, Cui Y, Song L, Chen Y. Pathophysiology of SARS-CoV-2 infection in patients with intracerebral hemorrhage. Aging (Albany NY). 2020; 12(13): 13791-13802.
- 2. Sharifi-Razavi A, Karimi N, Rouhani N. COVID-19 and intracerebral haemorrhage: causative or coincidental? New Microbes New Infect. 2020; 35: 100669.
- 3. Andrew L, Ní Áinle F, Blondon M, Rodger MA, Skeith L. Preventing postpartum venous thromboembolism: A call to action to reduce undue maternal morbidity and mortality. Thromb Res. 2020; 193: 190-197.
- 4. Tsivgoulis G, Palaiodimou L, Zand R, Lioutas VA, Krogias C, Katsanos AH, Shoamanesh A, Sharma VK, Shahjouei S, Baracchini C, Vlachopoulos C, Gournellis R, Sfikakis PP, Sandset EC, Alexandrov AV, Tsiodras S. COVID-19 and cerebrovascular diseases: a comprehensive overview. Ther Adv Neurol Disord. 2020; 13: 1756286420978004.
- 5. Benger M, Williams O, Siddiqui J, Sztriha L. Intracerebral haemorrhage and COVID-19: Clinical characteristics from a case series. Brain Behav Immun. 2020; 88: 940-944.
- 6. Mishra S, Choueka M, Wang Q, Hu C, Visone S, Silver M, Stein EG, Levine SR, Wang QT. Intracranial Hemorrhage in COVID-19 Patients. J Stroke Cerebrovasc Dis. 2021; 30(4): 105603.
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- 8. Altschul DJ, Unda SR, de La Garza Ramos R, Zampolin R, Benton J, Holland R, Fortunel A, Haranhalli N. Hemorrhagic presentations of COVID-19: Risk factors for mortality. Clin Neurol Neurosurg. 2020; 198: 106112.
- 9. Daci R, Kennelly M, Ferris A, Azeem MU, Johnson MD, Hamzei-Sichani F, Jun-O'Connell AH, Natarajan SK. Bilateral Basal Ganglia Hemorrhage in a Patient with Confirmed COVID-19. AJNR Am J Neuroradiol. 2020; 41(10): 1797-1799.
- 10. Ciavarella A, Erra R, Abbattista M, Iurlaro E, Boscolo-Anzoletti M, Ossola MW, Mosca F, Ferrazzi E, Peyvandi F, Martinelli I. Hemostasis in pregnant women with COVID-19. Int J Gynaecol Obstet. 2021; 152(2): 268-269.
There are 10 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Brain and Nerve Surgery (Neurosurgery) |
| Journal Section | Case Report |
| Authors | |
| Publication Date | January 3, 2024 |
| Submission Date | August 1, 2023 |
| Acceptance Date | October 10, 2023 |
| Published in Issue | Year 2023 Volume: 40 Issue: 4 |
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