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

Authors

  • Paul Lawrence C. Filomeno, MD 1Division of Pediatric Neurology, Departments of Neurosciences and Pediatrics, Philippine General Hospital, University of the Philippines Manila https://orcid.org/0000-0003-0176-9623 (##common.opensInNewWindow##)
  • Joyce Gillian A. Tiam-Lee, MD 2Department of Pediatrics, Philippine General Hospital, University of the Philippines Manila
  • Bryan Nicole M. Reyes, MD 2Department of Pediatrics, Philippine General Hospital, University of the Philippines Manila
  • Jonah Mikka B. Dorado, MD 2Department of Pediatrics, Philippine General Hospital, University of the Philippines Manila
  • Ma. Micaela Therese J. Pimentel, MD 2Department of Pediatrics, Philippine General Hospital, University of the Philippines Manila
  • Marissa B. Lukban, MD Division of Pediatric Neurology, Departments of Neurosciences and Pediatrics, Philippine General Hospital, University of the Philippines Manila

DOI:

https://doi.org/10.47895/amp.v58i7.6346

Keywords:

pediatric intracerebral hemorrhage COVID-19 hypertensive emergency renal artery stenosis

Abstract

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.

References

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