Abstract

GONZALEZ-ARTEAGA, Alex et al. Spontaneous Intracerebral Hemorrhage In Severe Covid-19 Patients: Report Of Two Cases. Rev Ecuat Neurol [online]. 2022, vol.31, n.1, pp.108-112. ISSN 2631-2581.  https://doi.org/10.46997/revecuatneurol31100108.

The respiratory system is mainly affected by the SARS-CoV-2 infection, producing a severe acute respiratory syndrome known as COVID-19 (Coronavirus disease 2019), patients with severe disease usually develop multiorgan failure; among these we can focus on the nervous system, due to its potential neurotropism. Recent clinical data reveal that patients may manifest symptoms such as anosmia, dysgeusia, impaired consciousness, headache, seizures, and cerebrovascular disease (CVD). We describe two physically active male patients with complicated SARS-CoV-2 infection without significant comorbidities related to the development of intracranial hemorrhage, nor a history of head trauma or documented anatomic malformations. Both were admitted by the emergency department and during their stay in the ICU they developed intracranial hemorrhage diagnosed by computed tomography. The paraclinical findings in the two cases were compatible with a prothrombotic state as possible etiologies of bleeding in both.

Keywords : SARS-Cov2; intracranial hemorrhage; prothrombotic state..

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