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Matthieu Jamme, Elie Mosnino, Jan Hayon, and Guillaume Franchineau
May 13, 2021
Intensive Care Medicine
Poissy Saint Germain en Laye Intercommunal Hospital Center (France)

"A 69-year-old woman with arterial hypertension treated daily by hydrochlorothiazide and angiotensin receptor antagonist received a first dose of Oxford–AstraZeneca vaccine.

Eleven days after the vaccination, the patient developed headache associated with behavioral symptoms. At day 13, her daughter found her unconscious. Physical examination revealed a coma Glasgow 4/15, right mydriasis, bilateral Babinski reflex without hemodynamic instability or respiratory failure. She was intubated and transferred [to] intensive care unit.

Immediate CT scan followed by MRI highlighted a severe bilateral frontal hemorrhage with brain herniation complicating a cerebral venous thrombosis of the left internal jugular vein, sigmoid sinus and superior sagittal sinus. Moreover, thoracic CT scan showed concomitant segmentary pulmonary embolism ... 

Evolution was dramatically poor in the next few hours with brain death, leading to an organ donation procedure."

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adverse events,clinical cases,deaths,neurological disorders,vaccines,vascular system issues