Potential Mechanisms of COVID-19-related Intracranial Hemorrhage Due to Temporary Depletion of Vitamin K-dependent Coagulation Factors: An Illustrative Case

Coronavirus disease 2019 (COVID-19) -related intracranial hemorrhage (ICH) is believed to be associated with at least one known risk factor for ICH, such as hypertension, hyperlipidemia, diabetes mellitus, severe pneumonia, or anticoagulation therapy. However, in this study, we report a case of ICH...

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Veröffentlicht in:NMC Case Report Journal 2022/12/31, Vol.9, pp.63-67
Hauptverfasser: SHINODA, Narihide, TAMURA, Shogo, MORI, Masafumi, NAKAMURA, Mitsugu, KOROSUE, Kazuyoshi, KOSE, Shigeru
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container_title NMC Case Report Journal
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creator SHINODA, Narihide
TAMURA, Shogo
MORI, Masafumi
NAKAMURA, Mitsugu
KOROSUE, Kazuyoshi
KOSE, Shigeru
description Coronavirus disease 2019 (COVID-19) -related intracranial hemorrhage (ICH) is believed to be associated with at least one known risk factor for ICH, such as hypertension, hyperlipidemia, diabetes mellitus, severe pneumonia, or anticoagulation therapy. However, in this study, we report a case of ICH in a 14-year-old boy with mild COVID-19 infection without pneumonia who had no such risk factors. The only abnormal laboratory finding was temporary depletion of vitamin K-dependent coagulation factors. This case indicates that COVID-19 infection may cause simultaneous asymptomatic intracranial microhemorrhages and temporary depletion of vitamin K-dependent coagulation factors. This temporary depletion might transform the intracranial microhemorrhages into symptomatic ICH.
doi_str_mv 10.2176/jns-nmc.2021-0295
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subjects angiotensin-converting enzyme 2 (ACE2)
Case Report
Coronavirus disease 2019 (COVID-19)
COVID-19-related ICH
vitamin K-dependent coagulation factors
title Potential Mechanisms of COVID-19-related Intracranial Hemorrhage Due to Temporary Depletion of Vitamin K-dependent Coagulation Factors: An Illustrative Case
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