The relationship between COVID-19 infection and intracranial hemorrhage : A systematic review

© 2021 International Hemorrhagic Stroke Association. Publishing services by Elsevier B.V. on behalf of KeAi Communications Co. Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)..

INTRODUCTION: In addition to the deleterious effects Covid-19 has on the pulmonary and cardiovascular systems, COVID-19 can also result in damage to the nervous system. This review aims to explore current literature on the association between COVID-19 and intracranial hemorrhage (ICH).

METHODS: We conducted a systematic review of PubMed for literature published on COVID-19 and ICH. Ninety-four of 295 screened papers met inclusion criteria.

RESULTS: The literature addressed incidence and mortality of ICH associated with Covid-19. It also revealed cases of COVID-19 patients with subarachnoid hemorrhage, intraparenchymal hemorrhage, subdural hematomas, and hemorrhage secondary to cerebral venous thrombosis and ischemic stroke. ICH during COVID-19 infections was associated with increased morbidity and mortality. Risk factors for ICH appeared to be therapeutic anticoagulation, ECMO, and mechanical ventilation. Outcomes varied widely, depending on the severity of COVID-19 infection and neurologic injury.

CONCLUSION: Although treatment for severe Covid-19 infections is often aimed at addressing acute respiratory distress syndrome, vasculopathy, and coagulopathy, neurologic injury can also occur. Evidence-based treatments that improve COVID-19 mortality may also increase risk for developing ICH. Providers should be aware of potential neurologic sequelae of COVID-19, diagnostic methods to rule out other causes of ICH, and treatment regimens.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:2

Enthalten in:

Brain hemorrhages - 2(2021), 4 vom: 17. Dez., Seite 141-150

Sprache:

Englisch

Beteiligte Personen:

Daly, Samuel R [VerfasserIn]
Nguyen, Anthony V [VerfasserIn]
Zhang, Yilu [VerfasserIn]
Feng, Dongxia [VerfasserIn]
Huang, Jason H [VerfasserIn]

Links:

Volltext

Themen:

Cerebral Venous Sinus Thrombosis
Cerebral Venous Thrombosis
Covid-19
Hemorrhagic Infarct
Intracranial Hemorrhage
Intraparenchymal Hemorrhage
Journal Article
Review
SARS-CoV-2
Subarachnoid Hemorrhage

Anmerkungen:

Date Revised 21.07.2023

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.hest.2021.11.003

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM333242300