Non-Aneurysmal Perimesencephalic Subarachnoid Hemorrhage in a Covid-19 Patient: Case Report and Review on Subarachnoid Hemorrhage Patterns in Covid-19 Publisher



Sarpoolaki MK¹ ; Iranmehr A¹ ; Bitaraf MA¹ ; Naderi S¹ ; Namvar M¹ Show Affiliations
Source: Iranian Journal of Neurosurgery Published:2021

Abstract

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 Presantation: 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. © 2021, Guilan University of Medical Sciences. All rights reserved.