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Case Report
Postpartum cerebral venous thromboembolism in an asymptomatic COVID-19 patient
1 Department of Obstetrics and Gynecology, Lebanese University, Faculty of Medical Sciences, Mount Lebanon, Lebanon
2 Department of Obstetrics and Gynecology, AL Zahraa Hospital University Medical Center, Lebanon
3 Department of Emergency Medicine, AL Zahraa Hospital University Medical Center, Lebanon
4 Department of Emergency Medicine, Lebanese University, Faculty of Medical Sciences, Mount Lebanon, Lebanon
5 Department of Internal Medicine, AL Zahraa Hospital University Medical Center, Lebanon
Address correspondence to:
Mayssaloun Ibrahim Khairallah
Beirut,
Lebanon
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Article ID: 101228Z01MK2021
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How to cite this article
Khairallah MI, Koulaymi E, El-Hanna S, Haroun Z, Mansour B, Al Hassan J. Postpartum cerebral venous thromboembolism in an asymptomatic COVID-19 patient. Int J Case Rep Images 2021;12:101228Z01MK2021.ABSTRACT
Introduction: Cerebral venous thromboembolism is a serious condition whose diagnosis and management in the emergency department is vital. Although cerebral venous thromboembolism (CVT) is not as common as lower extremities venous thromboembolism (VTE) or pulmonary embolism (PE), several cases were reported in literature that linked it to both, COVID-19 and puerperium, as they are at the origin of hypercoagulable state.
Case Report: We report this case of a postpartum patient who presented in status epilepticus to the emergency department. She was diagnosed with CVT causing left temporal lobe infarction with hemorrhagic changes. Along this condition, she had a positive COVID-19 test. Anticoagulation was started and patient was discharged after 2 weeks having mild cognitive impairment as a sequela.
Conclusion: This case demonstrates the importance of considering CVT as one of the large differentials in a patient having neurological symptoms, and, highlights the need of starting antithrombotic therapy as prophylaxis in pregnant/puerperium women to avoid thromboembolic events in COVID-19 era.
Keywords: Cerebral venous thromboembolism, COVID-19, Postpartum, Status epilepticus
SUPPORTING INFORMATION
Author Contributions
Mayssaloun Ibrahim Khairallah - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Eva Koulaymi - Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Sylvan El-Hanna - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Zeinab Haroun - Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Bassam Mansour - Analysis of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Jihad Al Hassan - Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Mayssaloun Khairallah et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
