Postpartum Basal Ganglion Hemorrhage in a COVID-19 Patient: A Case Report

Abstract

Pregnancy and postpartum periods are prone to thrombotic events rather than hemorrhages. Also, neurological manifestations of COVID-19 include ischemic events and associated hemorrhages more frequently compared to spontaneous hemorrhages. To date, no spontaneous intracerebral hemorrhage has been described in the postpoartum period in a COVID-19 patient. A 26-year-old pregnant with diabetes mellitus was diagnosed and treated with COVID-19 following delivery. On the 8th day of treatment, she had a loss of consciousness. Emergent computerized tomography revealed a hemorrhage in right basal ganglion and inside the ventricles. The hematoma was evacuated and a ventricular catheter was placed through a mini burr craniotomy. Hemorrhage was resolved, but she remained tetraplegic. Intracerebral hemorrhage may occur in COVID-19 patients during postpartum which is a period where prothrombotic events are expected. Surgical evacuation and intraventricular catheters may be life-savers in these patients.