Intracranial hemorrhage in a young COVID-19 patient.
Interdiscip Neurosurg
; 22: 100878, 2020 Dec.
Article
in En
| MEDLINE
| ID: mdl-32837915
ABSTRACT
COVID-19 patients are increasingly understood to develop multisystem manifestations, including neurologic involvement. We report the case of a 42-year old COVID-19 positive patient with a fatal intracerebral hemorrhage (ICH). The patient presented with fever and dyspnea, requiring intubation due to medical complications. After prolonged sedation and anticoagulation, the patient suddenly developed bilaterally fixed and dilated pupils, caused by a right-sided intracranial hemorrhage with uncal herniation. The course of this case illustrates the delicate balance between hypercoagulability and coagulation factor depletion; especially in the intubated and sedated patient, in whom regular neurological assessments are impeded. As we expand our understanding of the neurological ramifications of COVID-19, clinicians need to be increasingly aware of the precarious coagulation balance.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Interdiscip Neurosurg
Year:
2020
Type:
Article
Affiliation country:
China