Non-Aneurysmal Subarachnoid Hemorrhage in COVID-19: A Case Report and Review of Literature

Main Article Content

Ritwik Ghosh, MD Dipayan Roy, MD Adrija Ray, MBBS Shambaditya Das, MD, DM Amrita Mandal, MBBS Shambaditya Das, MD, DM Shyamal Kanti Pal, MD Julián Benito-León, MD, PhD

Abstract

Background: Hemorrhagic cerebrovascular events, either due to aneurysmal rupture or spontaneous subarachnoid hemorrhage (SAH), are not rare in COVID-19. Several mechanisms such as coagulopathy, cytokine storm, viral endotheliopathy, hypertension, and immune modulation might play a role in the pathogenesis of SAH in COVID-19. This study aimed to report the first case of spontaneous non-aneurysmal SAH associated with SARS-CoV-2 from India. We briefly discussed the possible pathogenetic mechanisms underlying this process and succinctly reviewed the relevant literature.


Case report: We herein report a case of a non-comorbid young woman infected with SARS-CoV-2 presenting with thunderclap headache and eventually non-aneurysmal SAH,  who recovered with conservative management.


Conclusion: Headache, although a very common clinical feature of COVID-19 itself, must be investigated in detail to identify alternate causes that may be life-threatening. This case also incites further enquiry into the possible pathogenic mechanisms of neurovascular complications in COVID-19.

Keywords: Neuro-COVID, subarachnoid hemorrhage, COVID-19, endotheliitis, coagulopathy

Article Details

How to Cite
GHOSH, Ritwik et al. Non-Aneurysmal Subarachnoid Hemorrhage in COVID-19: A Case Report and Review of Literature. Medical Research Archives, [S.l.], v. 10, n. 1, jan. 2022. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/2673>. Date accessed: 09 dec. 2024. doi: https://doi.org/10.18103/mra.v10i1.2673.
Section
Case Reports

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