Hemorrhagic involvement of bilateral deep cerebral structures in patients with COVID-19

Patient 1Patient 2Our Patient
Anatomic locationBilateral thalami, bilateral medial temporal lobesBilateral basal gangliaBilateral basal ganglia
SARS-CoV-2 PCR nasopharyngeal specimenPositiveNegativePositive
Medical historyUnknownDiabetes, hypertension, lumbar fusionObstructive sleep apnea, gastrointestinal reflux, asthma, and migraines
Presenting symptomAltered mental statusLoss of consciousnessHeadache
COVID-19 symptomsCough, feverCough, feverCough, sore throat, fatigue
Presenting blood pressureUnknown150/100134/70
Chest CT findingsUnknownBilateral ground glass opacitiesBilateral ground glass opacities
Outcome statusUnknownRecovered and discharged from the hospitalDeath
CSFNegative for herpes simplex virusNot obtainedNot obtained
  • Note:—PCR indicates polymerase chain reaction.