دورية أكاديمية
أعرض في EDS

Subarachnoid hemorrhage and COVID-19: Association or coincidence?

التفاصيل البيبلوغرافية
العنوان: Subarachnoid hemorrhage and COVID-19: Association or coincidence?
المؤلفون: Cezar-Junior AB; Hospital da Restauração, Department of Neurosurgery, Recife, Av. Gov. Agamenon Magalhães, s/n - Derby, Recife - PE, 52171-011, Brazil., Faquini IV, Silva JLJ, de Carvalho Junior EV, Lemos LEAS, Freire Filho JBM, de Lira Filho HT, Pontes ECA, Almeida NS, Azevedo-Filho HRC
المصدر: Medicine [Medicine (Baltimore)] 2020 Dec 18; Vol. 99 (51), pp. e23862.
نوع المنشور: Case Reports; Journal Article; Observational Study
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 2985248R Publication Model: Print Cited Medium: Internet ISSN: 1536-5964 (Electronic) Linking ISSN: 00257974 NLM ISO Abbreviation: Medicine (Baltimore) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hagerstown, Md : Lippincott Williams & Wilkins
مواضيع طبية MeSH: COVID-19/*complications , SARS-CoV-2/*isolation & purification , Subarachnoid Hemorrhage/*virology, Adult ; Aged ; Angiography, Digital Subtraction ; COVID-19/diagnostic imaging ; Female ; Humans ; Male ; Middle Aged ; Subarachnoid Hemorrhage/diagnostic imaging
مستخلص: Abstract: Some evidences suggest the involvement of the central nervous system in patients infected with SARS-CoV-2. We aim to analyze possible associations between coronavirus disease 2019 (COVID-19) pandemic and spontaneous subarachnoid hemorrhage (SAH), in a comprehensive neurological center.We conducted a retrospective case series of 4 patients infected by COVID-19, who developed spontaneous SAH. Clinical data were extracted from electronic medical records.Between March 24, 2020, and May 22, 2020, 4 cases (3 females; 1 male) of SAH were identified in patients infected with SARS-CoV-2, in a comprehensive neurological center in Brazil. The median age was 55.25 years (range 36 -71). COVID-19-related pneumonia was severe in 3 out of 4 cases, and all patients required critical care support during hospitalization. The patients developed Fisher grade III and IV SAH. Digital subtraction angiography (DSA) was performed in 3 of the 4 patients. However, in only 1 case, an aneurysm was identified. Inflammatory blood tests were elevated in all cases, with an average D-dimer of 2336 μg/L and mean C-reactive protein (CRP) of 3835 mg/dl The outcome was poor in the majority of the patients, with 1 death (25%); 2 (50%) remained severely neurologically affected (mRS:4); and 1 (25%) had slight disability (mRS:2).This study shows a series of 4 rare cases of SHA associated with COVID-19. The possible mechanisms underlying the involvement of SARSCoV-2 and SHA is yet to be fully understood. Therefore, SHA should be included in severe neurological manifestations in patients infected by this virus.
(Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc.)
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تواريخ الأحداث: Date Created: 20201229 Date Completed: 20210104 Latest Revision: 20231110
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC7748374
DOI: 10.1097/MD.0000000000023862
PMID: 33371170
قاعدة البيانات: MEDLINE
الوصف
تدمد:1536-5964
DOI:10.1097/MD.0000000000023862