Postpartum basal ganglion hemorrhage in a covıd-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 postpartum period in a COVID-19 patient. A 26-year-old pregnant woman with diabetes mellitus was diagnosed and treated with COVID-19 following delivery. On the 8th day of treatment, she had a loss of consciousness. Emergency computed tomography revealed a hemorrhage in the right basal ganglion and inside the ventricles. The hematoma was evacuated and a ventricular catheter was placed through a mini burr craniotomy. The 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-saving in these patients. © 2023 Ondokuz Mayis Universitesi. All rights reserved.