Key result
COVID-19 infection is linked to atypical subarachnoid hemorrhage presentations, including non-aneurysmal perimesencephalic patterns.
Why the study?
Although subarachnoid hemorrhage has been reported in COVID-19 patients, little is known about the various types and patterns of SAH in these patients.
Case Report (n=30)
May warrant considering COVID-19 in atypical SAH; extends case reports of cerebrovascular links but leaves causality open.
Background and Importance: The novel SARS-CoV-2 virus has had an undeniable effect worldwide in different aspects. Although cerebrovascular diseases, especially subarachnoid hemorrhage (SAH), have already been reported in COVID-19 patients, little is known about various types and patterns of SAH in these patients. Case Presentation: A 63-year-old woman was admitted to the emergency department with a headache. Her headache was severe (Hunt and Hess score, grade 2). She was diagnosed with COVID-19 by a positive nasopharyngeal swab PCR test. Her CT scan revealed a perimesencephalic hemorrhage, thick SAH without any signs of hydrocephalus or intraventricular hemorrhage. Conclusion: Regarding the different associations of SAH with COVID-19, the perimesencephalic hemorrhage in our case is a novel type. Although not uncommon among non-infected populations, SAH occurrence in COVID-19 patients has not been reported before and needs further investigation.
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Sarpoolaki et al. (2021) conducted a case report in COVID-19 and Subarachnoid Hemorrhage (n=30). COVID-19 infection was evaluated on Subarachnoid hemorrhage pattern. COVID-19 infection is associated with varying patterns of subarachnoid hemorrhage, including a newly described non-aneurysmal perimesencephalic presentation in a 63-year-old female.
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