Intracerebral Hemorrhage in a Child with Renal Artery Stenosis and COVID-19

Pediatric intracerebral hemorrhage is a rare condition among children. We discuss the case of a 7-year-old Filipino male with generalized tonic seizures and diagnosed to have both SARS-CoV-2 infection and hypertension secondary to renal arterial stenosis. The occurrence of intracerebral hemorrhage i...

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Bibliographic Details
Published inActa medica Philippina Vol. 58; no. 7; pp. 182 - 186
Main Authors Filomeno, Paul Lawrence C, Tiam-Lee, Joyce Gillian A, Reyes, Bryan Nicole M, Dorado, Jonah Mikka B, Pimentel, Ma Micaela Therese J, Lukban, Marissa B
Format Journal Article
LanguageEnglish
Published Philippines University of the Philippines Manila 2024
Subjects
Case Report
COVID-19
pediatric intracerebral hemorrhage
renal artery stenosis
hypertensive emergency
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Summary:Pediatric intracerebral hemorrhage is a rare condition among children. We discuss the case of a 7-year-old Filipino male with generalized tonic seizures and diagnosed to have both SARS-CoV-2 infection and hypertension secondary to renal arterial stenosis. The occurrence of intracerebral hemorrhage in children, though commonly caused by arteriovenous malformations, may be secondary to an acute hypertensive episode. In this case, the presence of COVID-19 in the patient may have been contributory to the development of spontaneous intracerebral hemorrhage due to its direct endothelial effects, as well as its dysregulatory action on the renin-angiotensin-aldosterone system.
ISSN:0001-6071
2094-9278
DOI:10.47895/amp.v58i7.6346