Chronic Subdural Hematoma, Caused by Disseminated Intravascular Coagulation and/or Anticoagulation Therapy, after COVID-19.

NMC Case Report Journal Pub Date : 2022-06-15 eCollection Date: 2022-01-01 DOI:10.2176/jns-nmc.2021-0425
Yu Nomura, Masato Naraoka, Nozomi Fujiwara, Shouhei Kinoshita, Keita Yanagiya, Takao Sasaki, Ryouta Watanabe, Kouta Ueno, Norihito Shimamura
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引用次数: 2

Abstract

Chronic subdural hematoma (CSDH) typically develops in the supratentorial region in elderly patients. We treated a case of unilateral supratentorial and bilateral infratentorial CSDH, whereby the patient had a coronavirus disease 2019 (COVID-19) infection combined with disseminated intravascular coagulation 2 months earlier. The patient had not experienced any head trauma before the onset of the CSDH. The postoperative course was uneventful, and the patient experienced no neurological deficit. We propose that we should be aware not only of acute ischemic or hemorrhagic diseases after COVID-19 infection but also of chronic subdural hematoma caused by coagulopathy after a COVID-19 infection.

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COVID-19后由弥散性血管内凝血和/或抗凝治疗引起的慢性硬膜下血肿。
慢性硬膜下血肿(CSDH)通常发生在老年患者的幕上区域。我们治疗了一例单侧幕上和双侧幕下CSDH,患者在2个月前患有冠状病毒病2019 (COVID-19)感染并弥散性血管内凝血。患者在CSDH发病前未经历过任何头部创伤。术后过程平稳,患者无神经功能缺损。我们建议我们不仅要注意COVID-19感染后的急性缺血性或出血性疾病,还要注意COVID-19感染后凝血功能障碍引起的慢性硬膜下血肿。
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