[COVID-19 and intracranial hemorrhage]

[新冠肺炎与颅内出血]

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Abstract

COVID-19 is the disease caused by a new coronavirus originated in Wuhan (Hubei province in China) in December 2019, called SARS-CoV-2. It is currently responsible for a global pandemic declared on March 11, 2020 by the World Health Organization (WHO). Taking into account that patients with severe COVID-19 are more likely to suffer neurological symptoms, we expose a case of a hypertensive patient who has been found unconscious in the public thoroughfare. He presented right cerebellar intraparenchymal hematoma with an arteriovenous malformation and smear nasopharyngeal test positive for SARS-CoV-2. The case that we present creates the dilemma of whether the clinical picture presented by the patient is chance or causality. The SARS-CoV-2 infection could have contributed to brain hemorrhage since the new coronavirus affects the neurological system and high blood pressure is considered a risk factor for the severe evolution of COVID-19. Several cases with COVID-19 complicated by intracranial hemorrhages have been described; however, it will be necessary to carry out relevant studies to confirm this association.

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