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COVID-19-associated spontaneous subacute subdural haematoma: report of two cases

A Tabibkhooei1, J Hatam1, M Mokhtari1

  • 1Department of Neurology, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

New Microbes and New Infections
|February 22, 2021
PubMed

Insights

COVID-19 infection can cause spontaneous subdural hematomas, a serious brain bleed. Prompt neurological evaluation and imaging are crucial for patients with altered consciousness during COVID-19.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Neurosurgery

Background:

  • The COVID-19 pandemic has led to various health complications, including neurological disorders.
  • Vascular complications associated with COVID-19 have been increasingly reported globally.

Observation:

  • Two patients with COVID-19 developed spontaneous subdural hematomas without prior trauma or vascular injury.
  • Both patients presented with lethargy and unresponsiveness in the intensive care unit.

Findings:

  • Emergent craniotomy was performed on both individuals, with one patient showing significant improvement and discharge.
  • The second patient did not improve neurologically and unfortunately died post-surgery.

Implications:

  • Subdural hematomas are a potential hemorrhagic complication of COVID-19, possibly due to several underlying mechanisms.
  • Altered consciousness in COVID-19 patients necessitates urgent brain imaging and neurological assessment to rule out conditions like subdural hematoma.

Keywords:
Coronaviruscoronavirus disease 2019subdural haematoma

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