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Sagittal sinus thrombosis with subarachnoid haemorrhage in a patient with COVID-19 infection

A man in his late 50s was admitted with a 10-day history of right frontotemporal headache, left arm and leg weakness, and a sudden decline in visual acuity in the right eye. The patient had recent exposure to COVID-19 infection and tested positive for the same on admission. A CT scan of the head don...

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Autores principales: Murali, Nikhil, Marrinan, Elizabeth, Biyanwila, Chemindra, Hussein, Senussi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9884931/
https://www.ncbi.nlm.nih.gov/pubmed/36707095
http://dx.doi.org/10.1136/bcr-2022-249501
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author Murali, Nikhil
Marrinan, Elizabeth
Biyanwila, Chemindra
Hussein, Senussi
author_facet Murali, Nikhil
Marrinan, Elizabeth
Biyanwila, Chemindra
Hussein, Senussi
author_sort Murali, Nikhil
collection PubMed
description A man in his late 50s was admitted with a 10-day history of right frontotemporal headache, left arm and leg weakness, and a sudden decline in visual acuity in the right eye. The patient had recent exposure to COVID-19 infection and tested positive for the same on admission. A CT scan of the head done on arrival demonstrated a subarachnoid haemorrhage in the right central sulcus with an underlying superior sagittal sinus thrombosis. No other known risk factors for central venous sinus thrombosis could be identified. The patient had a normal level of consciousness on admission clinically; however, he was in severe pain. A collective decision was made to administer anticoagulants to the patient with heparin after carefully deliberating the risk-to-benefit ratio of a superior sagittal thrombus with an associated subarachnoid haemorrhage. Our patient recovered and was discharged after 2 weeks on warfarin. We present this case to highlight the potential risks of hypercoagulable and neurotropic complications of COVID-19 infections, with special emphasis on cerebral venous thrombosis.
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spelling pubmed-98849312023-01-31 Sagittal sinus thrombosis with subarachnoid haemorrhage in a patient with COVID-19 infection Murali, Nikhil Marrinan, Elizabeth Biyanwila, Chemindra Hussein, Senussi BMJ Case Rep Case Reports: Unusual association of diseases/symptoms A man in his late 50s was admitted with a 10-day history of right frontotemporal headache, left arm and leg weakness, and a sudden decline in visual acuity in the right eye. The patient had recent exposure to COVID-19 infection and tested positive for the same on admission. A CT scan of the head done on arrival demonstrated a subarachnoid haemorrhage in the right central sulcus with an underlying superior sagittal sinus thrombosis. No other known risk factors for central venous sinus thrombosis could be identified. The patient had a normal level of consciousness on admission clinically; however, he was in severe pain. A collective decision was made to administer anticoagulants to the patient with heparin after carefully deliberating the risk-to-benefit ratio of a superior sagittal thrombus with an associated subarachnoid haemorrhage. Our patient recovered and was discharged after 2 weeks on warfarin. We present this case to highlight the potential risks of hypercoagulable and neurotropic complications of COVID-19 infections, with special emphasis on cerebral venous thrombosis. BMJ Publishing Group 2023-01-24 /pmc/articles/PMC9884931/ /pubmed/36707095 http://dx.doi.org/10.1136/bcr-2022-249501 Text en © BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.
spellingShingle Case Reports: Unusual association of diseases/symptoms
Murali, Nikhil
Marrinan, Elizabeth
Biyanwila, Chemindra
Hussein, Senussi
Sagittal sinus thrombosis with subarachnoid haemorrhage in a patient with COVID-19 infection
title Sagittal sinus thrombosis with subarachnoid haemorrhage in a patient with COVID-19 infection
title_full Sagittal sinus thrombosis with subarachnoid haemorrhage in a patient with COVID-19 infection
title_fullStr Sagittal sinus thrombosis with subarachnoid haemorrhage in a patient with COVID-19 infection
title_full_unstemmed Sagittal sinus thrombosis with subarachnoid haemorrhage in a patient with COVID-19 infection
title_short Sagittal sinus thrombosis with subarachnoid haemorrhage in a patient with COVID-19 infection
title_sort sagittal sinus thrombosis with subarachnoid haemorrhage in a patient with covid-19 infection
topic Case Reports: Unusual association of diseases/symptoms
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9884931/
https://www.ncbi.nlm.nih.gov/pubmed/36707095
http://dx.doi.org/10.1136/bcr-2022-249501
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