Case report of a fulminant non-aneurysmal convexity subarachnoid hemorrhage after COVID-19

Maximilian Scheer; Anja Harder; Sabine Wagner; Richard Ibe; Julian Prell; Christian Scheller; Christian Strauss; Sebastian Simmermacher

doi:10.1016/j.inat.2021.101437

Case report of a fulminant non-aneurysmal convexity subarachnoid hemorrhage after COVID-19

Interdiscip Neurosurg. 2022 Mar:27:101437. doi: 10.1016/j.inat.2021.101437. Epub 2021 Nov 29.

Authors

Maximilian Scheer¹, Anja Harder², Sabine Wagner³, Richard Ibe⁴, Julian Prell¹, Christian Scheller¹, Christian Strauss¹, Sebastian Simmermacher¹

Affiliations

¹ Department of Neurosurgery, University Hospital Halle, Ernst-Grube-Straße 40, 06120 Halle, Germany.
² Institute of Pathology, University Hospital Halle, Magdeburger Str. 14, 06112 Halle, Germany.
³ Department of Radiology, University Hospital Halle, Ernst-Grube-Straße 40, 06120 Halle, Germany.
⁴ Department of Neurology, University Hospital Halle, Ernst-Grube-Straße 40, 06120 Halle, Germany.

Abstract

We report on a case of a fulminant non-aneurysmal subarachnoid hemorrhage after COVID-19 in a patient without previous medical history or known previous illness despite a COVID-19 infection one month prior. We saw rarefied vessels in the area of the left middle cerebral artery besides a massive left frontal hemorrhage on cranial imaging. We concluded that these rarefied vessels are the expression of an RCVS, which fits the history of progressive headaches for one month. The RCVS might be caused by the COVID-19 infection and is related to the hemorrhage. Unfortunately, due to preoperative entrapment, brain death occurred a few days later.

Keywords: COVID-19; Case report; Subarachnoid hemorrhage.

Publication types

Case Reports