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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Main Authors: Mohamed Hamed Elkholi, Amr Abbas Sewan, Zeyad Faoor Alrais, Ammar Mohamed Abdel Hadi, Adel Elkhouly, Maged Mohsen Benaimein
Format: Article
Language:English
Published: Karger Publishers 2023-04-01
Series:Dubai Medical Journal
Subjects:
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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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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