Case study of venous thrombosis in a patient with cerebral hemorrhage: Early mobilization and active exercise

Abstract

[Purpose] It is said that early mobilization, the standing position, and ambulatory exercise prevent deep vein thrombosis (DVT) and pulmonary embolism (PE) in stroke patients in the acute phase. We began ambulatory exercise at the early onset stage using a knee ankle foot orthosis, but experienced a cerebral hemorrhage case who developed DVT, PE. [Participants and Methods] The case was a female in her 80s with left hemiplegia due to right thalamic hemorrhage. [Results] Wheelchair riding began on the first day of the intervention, and ambulatory exercise was started on day 4 using a knee ankle foot orthosis. A CT scan with D-dimer high level showed DVT in a left thigh vein and PE in the right pulmonary artery on day 24. [Conclusion] Motor paralysis and dehydration, constipation, and an anatomical problem were considered factors behind the development of DVT and PE.