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Coronavirus Disease 2019 Complicated by Multiple Simultaneous Intracerebral Hemorrhages.
Motoie, Ryota; Akai, Masaya; Kitahara, Takahiro; Imamura, Hisaji; Tanabe, Takeshi; Sarazawa, Katsuhiko; Takano, Seiichiro; Toda, Hiroki; Komatsu, Kazuto.
Affiliation
  • Motoie R; Department of Neurosurgery, Japanese Red Cross Fukui Hospital, Japan.
  • Akai M; Department of Respiratory Medicine, Japanese Red Cross Fukui Hospital, Japan.
  • Kitahara T; Department of Neurosurgery, Japanese Red Cross Fukui Hospital, Japan.
  • Imamura H; Department of Neurology, Japanese Red Cross Fukui Hospital, Japan.
  • Tanabe T; Department of Anesthesiology, Japanese Red Cross Fukui Hospital, Japan.
  • Sarazawa K; Department of Cardiology, Japanese Red Cross Fukui Hospital, Japan.
  • Takano S; Department of Neurology, Japanese Red Cross Fukui Hospital, Japan.
  • Toda H; Department of Neurosurgery, Japanese Red Cross Fukui Hospital, Japan.
  • Komatsu K; Department of Nephrology and Urology, Japanese Red Cross Fukui Hospital, Japan.
Intern Med ; 59(20): 2597-2600, 2020 Oct 15.
Article in En | MEDLINE | ID: mdl-32893231
The relationship between coronavirus disease 2019 (COVID-19) and intracerebral hemorrhage remains unclear. We herein report a case of severe COVID-19 pneumonia complicated by multiple simultaneous intracerebral hemorrhages (MSICH). The patient died eight days after the episode of MSICH. No apparent coagulopathy was observed; however, extracorporeal membrane oxygenation and anticoagulation might have caused the occurrence of MSICH. Laboratory findings showed hypercoagulability, suggesting that thrombotic etiologies, such as sinus thrombosis or cerebral infarction, might also have caused MSICH. MSICH can occur as a fatal complication of COVID-19, and this should be considered when providing treatment.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pneumonia, Viral / Cerebral Hemorrhage / Coronavirus Infections / Betacoronavirus Type of study: Diagnostic_studies Limits: Humans / Male / Middle aged Language: En Journal: Intern Med Journal subject: MEDICINA INTERNA Year: 2020 Document type: Article Affiliation country: Japan Country of publication: Japan
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pneumonia, Viral / Cerebral Hemorrhage / Coronavirus Infections / Betacoronavirus Type of study: Diagnostic_studies Limits: Humans / Male / Middle aged Language: En Journal: Intern Med Journal subject: MEDICINA INTERNA Year: 2020 Document type: Article Affiliation country: Japan Country of publication: Japan