Non-Aneurysmal Peri-mesencephalic SAH in a COVID Patient: A Case Report and Literature Review on Different SAH Patterns in COVID Patients (In press)

The novel SARS COV-2 virus has had an undeniable widespread effect on the world in different aspects. Although cerebrovascular disease and especially SAH has been reported earlier in COVID patients, there is confusion on different types and patterns of SAH.

A 63-year-old female presented in the emergency department with a headache. Her headaches were severe (Hunt&Hess 2). She was diagnosed with COVID by a positive nasopharyngeal swab PCR test. Her CT revealed a peri mesencephalic, thick SAH without any signs of hydrocephalus or intra-ventricular hemorrhage.

Reviewing the different associations of SAH and COVID, the peri mesencephalic hemorrhage in our case is a novel type which although is not uncommon among non-infected populations, its relation to COVID patients has not been reported before and needs further investigation.