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Aneurysmal Subarachnoid Hemorrhage in Patients with Coronavirus Disease 2019 (COVID-19): A Case Series.
Dodd, William S; Jabbour, Pascal M; Sweid, Ahmad; Tjoumakaris, Stavropoula; Gooch, Michael R; Al Saiegh, Fadi; Hasan, David M; Starke, Robert M; Kan, Peter T; Polifka, Adam J; Laurent, Dimitri; Busl, Katharina M; Ghosh, Ritam; Hoh, Brian L; Chalouhi, Nohra.
  • Dodd WS; Department of Neurosurgery, College of Medicine, University of Florida, Gainesville, Florida, USA.
  • Jabbour PM; Department of Neurological Surgery, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
  • Sweid A; Department of Neurological Surgery, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
  • Tjoumakaris S; Department of Neurological Surgery, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
  • Gooch MR; Department of Neurological Surgery, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
  • Al Saiegh F; Department of Neurological Surgery, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
  • Hasan DM; Department of Neurosurgery, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.
  • Starke RM; Department of Neurological Surgery, Miller School of Medicine, University of Miami, Miami, Florida, USA.
  • Kan PT; Department of Neurosurgery, University of Texas Medical Branch, Galveston, Texas, USA.
  • Polifka AJ; Department of Neurosurgery, College of Medicine, University of Florida, Gainesville, Florida, USA.
  • Laurent D; Department of Neurosurgery, College of Medicine, University of Florida, Gainesville, Florida, USA.
  • Busl KM; Department of Neurosurgery, College of Medicine, University of Florida, Gainesville, Florida, USA; Department of Neurology, College of Medicine, University of Florida, Gainesville, Florida, USA.
  • Ghosh R; Department of Neurological Surgery, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
  • Hoh BL; Department of Neurosurgery, College of Medicine, University of Florida, Gainesville, Florida, USA.
  • Chalouhi N; Department of Neurosurgery, College of Medicine, University of Florida, Gainesville, Florida, USA. Electronic address: nohra.elchalouhi@neurosurgery.ufl.edu.
World Neurosurg ; 153: e259-e264, 2021 09.
Article in English | MEDLINE | ID: covidwho-1366706
ABSTRACT

OBJECTIVE:

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic is a pressing public health issue. Although most cases do not result in severe illness requiring hospitalization, there is increasing evidence that SARS-CoV-2-induced inflammation can exacerbate pre-existing diseases. We sought to describe the characteristics of patients with aneurysmal subarachnoid hemorrhage who were actively or very recently infected with SARS-CoV-2.

METHODS:

We reviewed subarachnoid hemorrhage cases of patients who also were positive for SARS-CoV-2 at 5 high-volume cerebrovascular centers in the United States from March 2020 to January 2021. Cases of aneurysmal subarachnoid hemorrhage were analyzed.

RESULTS:

A total of 10 patients were identified, consisting of 5 women (50%) and 5 men (50%). Median age was 38.5 years. Four of the 10 patients (40%) were asymptomatic with respect to SARS-CoV-2-related symptoms, 3 patients (30%) had mild-to-moderate symptoms, and 3 patients (30%) had severe coronavirus disease 2019 (COVID-19), with pneumonia and sepsis. Of the 10 cases, 4 had dissecting pseudoaneurysms (40%), 3 in the posterior circulation and 1 in the anterior circulation. Among 6 saccular/blister aneurysms, 4 (67%) were ≤4 mm in largest diameter.

CONCLUSIONS:

Our experience with aneurysmal subarachnoid hemorrhage in patients positive for COVID-19 reveals a possibly distinct pattern compared with traditional aneurysmal subarachnoid hemorrhage, namely a high frequency of small aneurysms, dissecting pseudoaneurysms, and young patients.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Subarachnoid Hemorrhage / Intracranial Aneurysm / COVID-19 Type of study: Observational study / Prognostic study / Risk factors Topics: Long Covid Limits: Adult / Female / Humans / Male / Middle aged / Young adult Language: English Journal: World Neurosurg Journal subject: Neurosurgery Year: 2021 Document Type: Article Affiliation country: J.wneu.2021.06.092

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Subarachnoid Hemorrhage / Intracranial Aneurysm / COVID-19 Type of study: Observational study / Prognostic study / Risk factors Topics: Long Covid Limits: Adult / Female / Humans / Male / Middle aged / Young adult Language: English Journal: World Neurosurg Journal subject: Neurosurgery Year: 2021 Document Type: Article Affiliation country: J.wneu.2021.06.092