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616.831.1-005.1:616-036.22:578.834 (1) |
Neurologie. Neuropatologie. Sistem nervos (971) |
Virologie (442) |
SM ISO690:2012 ZOLOTCO, Galina, GROSU, Oxana, ROTARU, Lilia, CORCEA, Galina, ANDRONACHI, Victor, ZAPUHLÎH, Grigore. Subarachnoid hemorrhage associated with COVID-19 infection: case series report. In: 7th Congress of the Society of Neurologists Issue of the Republic of Moldova, Ed. 7, 16-18 septembrie 2021, Chişinău. Chişinău: Revista Curier Medical, 2021, Vol.64, p. 36. ISSN 2537-6381 (Online). |
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7th Congress of the Society of Neurologists Issue of the Republic of Moldova Vol.64, 2021 |
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Congresul "7th Congress of the Society of Neurologists Issue of the Republic of Moldova" 7, Chişinău, Moldova, 16-18 septembrie 2021 | |||||||
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CZU: 616.831.1-005.1:616-036.22:578.834 | |||||||
Pag. 36-36 | |||||||
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Background: Subarachnoid hemorrhage is a sudden bleeding in the subarachnoid space, representing 5-10% of all strokes. Several reports of Covid-19 infection and subarachnoid hemorrhage have been published. The objective of the study was to analyze subarachnoid hemorrhage in patients with COVID-19. Material and methods: Retrospective study of all electronic medical records of patients with COVID-19 treated between March 2020 and May 2021. The subarachnoid hemorrhage was identified in 7 patients out of 204. Results: The study sample included 3 men (42.9%) and 4 women (57.1%) with altered mental state, convulsions, severe headache, nausea and focal signs at the presentation. In one patient hemorrhage occurred 4 days after Covid-19 detection; in 5 patients the infection and hemorrhage were confirmed at admission, and 1 patient was diagnosed with SARS – Cov-2 during hospitalization. There was a marked increase in inflammatory markers (leukocytosis, increased ESR), the presence of pulmonary lesions in 8 pts. Angio CT revealed the presence of aneurysms in 5 patients. Most underwent surgery: by clipping – 6 patients, embolization of the anterior communicating artery – 1 patient and one attempt to ligate the left internal carotid artery. Out of 7 patients – 3 died and 4 were discharged. Conclusions: The subarachnoid hemorrhage can occur both at the initial stage of COVID-19 infection and later after the treatment. The association of infection in patients with subarachnoid hemorrhage leads to pulmonary involvement with inflammatory response and worsening of neurological status with poor prognosis. |
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Cuvinte-cheie subarachnoid hemorrhage, COVID infection-19, tomography, angiography |
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