RESUMO
An 18-year-old man with no previous known risk factors of thromboembolic diseases had both symptoms and radiologic findings of a superior sagittal sinus thrombosis one month after asymptomatic covid-19 infection. This case report aims to inform, that sinus thrombosis is a possible complication of a covid-19 infection, and hence, this complication should be considered in adolescents with an asymptomatic presentation of the infection.
Assuntos
COVID-19 , Trombose do Seio Sagital , Trombose dos Seios Intracranianos , Adolescente , Humanos , Masculino , Fatores de Risco , SARS-CoV-2 , Trombose dos Seios Intracranianos/diagnóstico por imagem , Trombose dos Seios Intracranianos/tratamento farmacológico , Trombose dos Seios Intracranianos/etiologiaRESUMO
This is a case report of a 55-year-old male, who was admitted due to right-sided sensorimotor deficits and one-and-a-half syndrome He had snorted 5 g of amphetamine over 24 h two months prior to admission. He was normotensive on admission. A CT brain scan showed left pontine haemorrhage, but a CT angiogram showed no vascular malformations nor vessel beading, and a two-month follow-up MRI showed no vascular malformations nor tumours. To the best of our knowledge, this is the fifth published case of pontine haemorrhage, and the first published case of one-and-a-half syndrome related to amphetamine abuse.
Assuntos
Anfetamina/efeitos adversos , Hemorragias Intracranianas/induzido quimicamente , Ponte/patologia , Angiografia por Tomografia Computadorizada , Humanos , Hemorragias Intracranianas/diagnóstico por imagem , Hemorragias Intracranianas/reabilitação , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Ponte/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
This is a case report of an 83-year-old man in warfarin treatment with stable international normalised ratio (INR) after aortic valve replacement and atrial fibrillation. Due to back pain he took paracetamol (acetaminophen) 4 g/day, morphine 30 mg/day and diclofenac as rescue medication for two weeks. After 14 days of treatment he was admitted to a hospital with acute neurological deficits, and a blood sample showed INR levels above 10. A CT-scan of the brain showed an intracerebral haemorrhage. The patient died eight days after admission. Mechanisms of the possible interaction between paracetamol and warfarin are discussed.