Upper Extremity Deep Vein Thrombosis in a Patient with Spontaneous Intracerebral Hemorrhage: A Case Report
Upper extremity deep venous thrombosis (UEDVT) is uncommon but may complicate intracerebral hemorrhage (ICH). A unique challenge arises when UEDVT is diagnosed and treated in situations of ICH. Case Report: We report a 43-year-old man developed edema in his hemiplegic arm 7 days after a spontaneous...
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Format: | Article |
Language: | English |
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Karger Publishers
2023-04-01
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Series: | Dubai Medical Journal |
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Online Access: | https://www.karger.com/Article/FullText/529841 |
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author | Mohamed Hamed Elkholi Amr Abbas Sewan Zeyad Faoor Alrais Ammar Mohamed Abdel Hadi Adel Elkhouly Maged Mohsen Benaimein |
author_facet | Mohamed Hamed Elkholi Amr Abbas Sewan Zeyad Faoor Alrais Ammar Mohamed Abdel Hadi Adel Elkhouly Maged Mohsen Benaimein |
author_sort | Mohamed Hamed Elkholi |
collection | DOAJ |
description | Upper extremity deep venous thrombosis (UEDVT) is uncommon but may complicate intracerebral hemorrhage (ICH). A unique challenge arises when UEDVT is diagnosed and treated in situations of ICH. Case Report: We report a 43-year-old man developed edema in his hemiplegic arm 7 days after a spontaneous ICH. UEDVT was detected immediately despite pharmacotherapy with point-of-care compression ultrasound (POCUS). In addition to controlling thrombogenic factors, the dosage of enoxaparin was increased, yet it was subtherapeutic. Following this, the thrombosed veins recanalized and the hematoma diminished as well. Conclusion: A POCUS scan helps diagnose UEDVT, and the risk and benefits of treating UEDVT should be considered in patients with ICH. |
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format | Article |
id | doaj.art-fcd055f2e1ff459da3a61333edce61a2 |
institution | Directory Open Access Journal |
issn | 2571-726X |
language | English |
last_indexed | 2024-04-09T13:08:39Z |
publishDate | 2023-04-01 |
publisher | Karger Publishers |
record_format | Article |
series | Dubai Medical Journal |
spelling | doaj.art-fcd055f2e1ff459da3a61333edce61a22023-05-12T12:24:18ZengKarger PublishersDubai Medical Journal2571-726X2023-04-011510.1159/000529841529841Upper Extremity Deep Vein Thrombosis in a Patient with Spontaneous Intracerebral Hemorrhage: A Case ReportMohamed Hamed Elkholihttps://orcid.org/0000-0002-5099-0159Amr Abbas SewanZeyad Faoor AlraisAmmar Mohamed Abdel HadiAdel ElkhoulyMaged Mohsen BenaimeinUpper extremity deep venous thrombosis (UEDVT) is uncommon but may complicate intracerebral hemorrhage (ICH). A unique challenge arises when UEDVT is diagnosed and treated in situations of ICH. Case Report: We report a 43-year-old man developed edema in his hemiplegic arm 7 days after a spontaneous ICH. UEDVT was detected immediately despite pharmacotherapy with point-of-care compression ultrasound (POCUS). In addition to controlling thrombogenic factors, the dosage of enoxaparin was increased, yet it was subtherapeutic. Following this, the thrombosed veins recanalized and the hematoma diminished as well. Conclusion: A POCUS scan helps diagnose UEDVT, and the risk and benefits of treating UEDVT should be considered in patients with ICH.https://www.karger.com/Article/FullText/529841intracerebral hemorrhageupper extremity deep venous thrombosispoint-of-care compression ultrasound |
spellingShingle | Mohamed Hamed Elkholi Amr Abbas Sewan Zeyad Faoor Alrais Ammar Mohamed Abdel Hadi Adel Elkhouly Maged Mohsen Benaimein Upper Extremity Deep Vein Thrombosis in a Patient with Spontaneous Intracerebral Hemorrhage: A Case Report Dubai Medical Journal intracerebral hemorrhage upper extremity deep venous thrombosis point-of-care compression ultrasound |
title | Upper Extremity Deep Vein Thrombosis in a Patient with Spontaneous Intracerebral Hemorrhage: A Case Report |
title_full | Upper Extremity Deep Vein Thrombosis in a Patient with Spontaneous Intracerebral Hemorrhage: A Case Report |
title_fullStr | Upper Extremity Deep Vein Thrombosis in a Patient with Spontaneous Intracerebral Hemorrhage: A Case Report |
title_full_unstemmed | Upper Extremity Deep Vein Thrombosis in a Patient with Spontaneous Intracerebral Hemorrhage: A Case Report |
title_short | Upper Extremity Deep Vein Thrombosis in a Patient with Spontaneous Intracerebral Hemorrhage: A Case Report |
title_sort | upper extremity deep vein thrombosis in a patient with spontaneous intracerebral hemorrhage a case report |
topic | intracerebral hemorrhage upper extremity deep venous thrombosis point-of-care compression ultrasound |
url | https://www.karger.com/Article/FullText/529841 |
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