Cerebral hemorrhage and pulmonary thromboembolism. About a case.

Abstract

Cerebrovascular diseases are the third cause of death, the first in disability and the second of dementia on the planet.

Objective: To describe the evolution, complications and treatment in a patient with cerebral hemorrhage and pulmonary thromboembolism.

Case presentation: 58-year-old female patient, history of hypertension and type 2 DM admitted to the Victoria hospital in Seychelles for hypertensive emergency and sudden stroke diagnosed by CT (skull) left thalamic intracerebral hemorrhage with intraventricular bleeding and cerebral edema in addition to pneumonia due to aspiration requiring ventilatory support. It presents complications: respiratory distress, barotrauma, pneumonia associated with mechanical ventilation, bacteremia associated with a central venous catheter, and thromboembolic disease: right femoral deep vein thrombosis and pulmonary thromboembolism. Despite her clumsy evolution, she is a living graduate from intensive care.

Conclusions: complicated intracerebral hemorrhage was diagnosed, treated and discharged alive from intensive care.