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Intracerebral Hemorrhage and Reversible Cerebral Vasoconstriction Syndrome in a Patient With COVID-19
Internal Medicine
  • Aswin Srinivasan, HCA Healthcare
  • Branden Wilson, HCA Healthcare
  • Matthew Bear, HCA Healthcare
  • Ammar Hasan, HCA Healthcare
  • Obadah Ezzeldin
  • Salman Alim, HCA Healthcare
  • Samer Elfallal, HCA Healthcare
  • Xiang Fang
  • Mohamad Ezzeldin, HCA Healthcare
Division
Gulf Coast
Hospital
HCA Houston Healthcare Kingwood
Document Type
Case Report
Publication Date
8-24-2021
Keywords
  • reversible cerebral vasoconstriction syndrome,
  • intracerebral hemorrhage,
  • covid-19,
  • sars-cov-2 (severe acute respiratory syndrome coronavirus -2),
  • convexity subarachnoid hemorrhage
Abstract

Neurological manifestations, such as encephalopathy, intracranial neuropathy, headache, and cognitive decline, are often presented in patients with COVID-19 infection. Since the onset of the pandemic, acute ischemic stroke associated with a hypercoagulable state caused by COVID-19 is increasingly being reported. Hemorrhagic stroke is also reported via poorly understood mechanisms. We report one of the first-ever cases of intraparenchymal hemorrhage, subarachnoid hemorrhage secondary to reversible cerebral vasoconstriction syndrome in a patient with COVID-19 infection.

Publisher or Conference
Cureus
Citation Information
Srinivasan A, Wilson B C, Bear M, et al. Intracerebral Hemorrhage and Reversible Cerebral Vasoconstriction Syndrome in a Patient With COVID-19. Cureus. 2021;13(8):e17408. doi:10.7759/cureus.17408