Coronavirus Disease 2019 Complicated by Multiple Simultaneous Intracerebral Hemorrhages

被引：7

作者：

Motoie, Ryota ^{[1
]}

Akai, Masaya ^{[2
]}

Kitahara, Takahiro ^{[1
]}

Imamura, Hisaji ^{[3
]}

Tanabe, Takeshi ^{[4
]}

Sarazawa, Katsuhiko ^{[5
]}

Takano, Seiichiro ^{[3
]}

Toda, Hiroki ^{[1
]}

Komatsu, Kazuto ^{[6
]}

机构：

[1] Japanese Red Cross Fukui Hosp, Dept Neurosurg, Fukui, Japan

[2] Japanese Red Cross Fukui Hosp, Dept Resp Med, Fukui, Japan

[3] Japanese Red Cross Fukui Hosp, Dept Neurol, Fukui, Japan

[4] Japanese Red Cross Fukui Hosp, Dept Anesthesiol, Fukui, Japan

[5] Japanese Red Cross Fukui Hosp, Dept Cardiol, Fukui, Japan

[6] Japanese Red Cross Fukui Hosp, Dept Nephrol & Urol, Fukui, Japan

来源：

INTERNAL MEDICINE | 2020年 / 59卷 / 20期

关键词：

COVID-19; SARS-CoV-2; intracerebral hemorrhage; ECMO; hypercoagulability; anticoagulant; EXTRACORPOREAL MEMBRANE-OXYGENATION;

D O I：

10.2169/internalmedicine.5697-20

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：2597 / 2600

页数：4

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