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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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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. |
format | Online Article Text |
id | pubmed-9884931 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
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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