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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(01): 211-218
DOI: 10.4103/ajns.AJNS_318_17
Case Report

Burden of dengue-related neurosurgical emergencies during an epidemic: A tertiary care experience

Raja Kutty
Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala
,
Sunilkumar Sreemathyamma
Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala
,
Jyothish Sivanandapanicker
Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala
,
Vijay Mundhe
Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala
,
Kapil Chhabra
Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala
,
Anilkumar Peethambaran
Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala
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Dengue is one of the most common flavivirus infections which can manifest from common flu-like fever to fatal hemorrhagic complication. Epidemics of dengue return every year with peaks during the rainfall claiming substantial number of lives in the tropical and subtropical regions of the world. We present manifestations of dengue in patients who underwent neurosurgery in a tertiary referral center during such an epidemic. There were total four patients referred for neurosurgical intervention as sequelae to dengue coagulopathy. Among them, three had intracranial bleeds and one had spinal cord hematoma along with intracranial hemorrhages. This small series includes the youngest reported case of dengue coagulopathy with intracranial bleed and only the second case of spontaneous intraspinal hematoma sequelae to dengue hemorrhagic fever. The situations where patients contract dengue in a setting of neurosurgical intervention are grave. The margin of safety in the presence of dengue coagulopathy is narrow. The surgeon has to outweigh benefit against risk of surgery in each individual.

Key-words:

Dengue - epidemic - neurosurgery

Financial support and sponsorship

Nil.




Publikationsverlauf

Artikel online veröffentlicht:
09. September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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