Hemorrhagic Neurological Manifestations in a Patient With Covid - 19: Case Report

Abstract

SARS-CoV-2 infection has had a major impact on global health, affecting from the respiratory system to the central nervous system, generating a wide spectrum of clinical manifestations. Stroke has been reported in the recent literature when addressing the neurological repercussions in patients affected by COVID-19, with unfavorable outcomes when compared to those not infected by SARS-CoV-2. There are multiple theories that try to elucidate neural clinical manifestations, from hematogenous infection to direct entry through the cribiform blade. This article shows a case report of a patient with COVID-19 and neurological involvement with diagnostic hypotheses of acute necrotizing encephalopathy, a rare post-viral infection condition in adults and ischemic stroke with subsequent hemorrhagic transformation, correlating the aspects observed in the image and in the patient's clinic with the current literature and theories.