Subarachnoid hemorrhage associated with COVID-19 infection: case series report
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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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Dublin Core
7th Congress of the Society of Neurologists Issue of the Republic of Moldova
Vol.64, 2021
Congresul "7th Congress of the Society of Neurologists Issue of the Republic of Moldova"
7, Chişinău, Moldova, 16-18 septembrie 2021

Subarachnoid hemorrhage associated with COVID-19 infection: case series report

CZU: 616.831.1-005.1:616-036.22:578.834

Pag. 36-36

Zolotco Galina12, Grosu Oxana12, Rotaru Lilia12, Corcea Galina12, Andronachi Victor12, Zapuhlîh Grigore12
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 Diomid Gherman Institute of Neurology and Neurosurgery
 
Proiecte:
 
Disponibil în IBN: 28 septembrie 2021


Rezumat

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.

Cuvinte-cheie
subarachnoid hemorrhage, COVID infection-19, tomography, angiography