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BMC Pregnancy Childbirth . Spontaneous Intracerebral Hemorrhage (ICH) associated with pregnancy and SARS-CoV-2 infection: a case report

tetano

Editor, Senior Moderator
BMC Pregnancy Childbirth


. 2022 Jan 6;22(1):14.
doi: 10.1186/s12884-021-04345-9.
Spontaneous Intracerebral Hemorrhage (ICH) associated with pregnancy and SARS-CoV-2 infection: a case report


Parisa Dini[SUP] 1 [/SUP], Soheila Aminimoghaddam[SUP] 1 [/SUP], Zahra Mirzaasgari[SUP] 2 3 [/SUP], Neda Rahimian[SUP] 4 [/SUP], Samaneh Tanhapour Khotbehsara[SUP] 5 [/SUP], Meysam Abolmaali[SUP] 6 7 [/SUP]



Affiliations

Abstract

Background: Coronavirus Disease 2019 (COVID-19) is predominately known as a respiratory disease associated with pneumonia, acute respiratory distress syndrome and multiorgan failure. However, extra-pulmonary complications of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are increasingly being recognized. In this regard, some studies implied the hemostatic and vascular involvements in patients with SARS-CoV-2 infection.
Case presentation: We describe a case of spontaneous Intracerebral Hemorrhage (ICH) in a pregnant patient with COVID-19 and history of cesarean section a week before the occurrence of ICH. The patient underwent emergent craniotomy with acceptable outcome. Hemorrhagic events, including ICH, may happen during COVID-19 infection with several possible mechanisms.
Conclusion: COVID-19 patients, especially high-risk groups, are at a risk of intracranial hemorrhage. Therefore, close follow-up must be maintained and hemorrhagic events must be kept in mind in these cases.

Keywords: COVID-19; Case report; Intracerebral hemorrhage; Pregnancy.
 
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