• Internal medicine · Oct 2020

    Case Reports

    Coronavirus Disease 2019 Complicated by Multiple Simultaneous Intracerebral Hemorrhages.

    • Ryota Motoie, Masaya Akai, Takahiro Kitahara, Hisaji Imamura, Takeshi Tanabe, Katsuhiko Sarazawa, Seiichiro Takano, Hiroki Toda, and Kazuto Komatsu.
    • Department of Neurosurgery, Japanese Red Cross Fukui Hospital, Japan.
    • Intern. Med. 2020 Oct 15; 59 (20): 2597-2600.

    AbstractThe 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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