Although the severity of coronavirus disease 2019 (COVID-19) being more frequently related to acute respiratory distress syndrome and acute cardiac and renal injuries, thromboembolic events have been increasingly reported. Acute respiratory distress syndrome due to SARS-CoV-2 (Severe Acute Respiratory Syndrome – Corona Virus 2) often requires intensive care follow-up. As well as respiratory failure, the SARS-CoV-2 may cause central nervous system (CNS) involvement. The pandemic has raised many challenges in managing critically ill older adults, a population preferentially killed by COVID-19. The mortality and morbidity rates are extremely high in critically ill patients with COVID-19. Recent studies have reported the potential development of a hypercoagulable state in COVID-19. Viral infections and hypoxia may cause these state. It is increasingly reported that thromboembolic events are associated with a poor prognosis. Due to these thromboembolic complications, COVID-19 patients often have neurological symptoms. These symptoms may not be observed in intensive care patients who are sedated. We report one case who was sedated COVID-19 pneumonia and who was later diagnosed with cerebral venous thrombosis with cranial imaging when he could not awaken even though sedation was discontinued. Since COVID-19 causes intense thrombotic susceptibility due to cytokine storm, cerebrovascular thromboembolic complications associated with COVID-19 infection should be considered first and foremost for unconsciousness ventilated patients. Severe and potentially cerebral thrombosis may prolong the patient´s stay in intensive care.
【저자키워드】 COVID-19, intensive care, Pneumonia, Case report, Tromboembolia, 【초록키워드】 coronavirus disease, SARS-CoV-2, Cytokine storm, pandemic, Respiratory failure, Mortality, thrombosis, hypoxia, susceptibility, severity, Infection, Symptom, Adults, Critically ill, Corona, morbidity, Venous thrombosis, Central nervous system, Neurological symptoms, respiratory, CNS, acute respiratory distress, distress, COVID-19 patient, hypercoagulable, Critically ill patient, Sedation, Older, syndrome, poor prognosis, thrombotic, thromboembolic complications, ventilated patients, Thromboembolic event, recent, intensive care patient, renal injuries, reported, diagnosed, raised, cause, increasingly, awaken, cranial, intensive care follow-up, the SARS-CoV-2, thromboembolic complication, with COVID-19, 【제목키워드】 Thromboembolism, COVID-19 patient, unconscious,