Upper Extremity Deep Vein Thrombosis in a Patient with Spontaneous Intracerebral Hemorrhage: A Case Report

Abstract

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.

Keywords

• intracerebral hemorrhage
• upper extremity deep venous thrombosis
• point-of-care compression ultrasound