• In COVID-19 disease, in addition to respiratory symptoms, some patients have symptoms of the central nervous system.
• Stroke, cerebral sinus vein thrombosis, and cerebral hemorrhage have been reported in patients with COVID-19.
• SARS-CoV-2 virus disrupts the regulation of blood pressure by binding to Angiotensin-Converting Enzyme 2 (ACE2) receptors in brain tissue.
• This imbalance reduces the conversion of angiotensin 2, a vasoconstrictor, to angiotensin 1-7, a vasodilator.
• This reduction results in increased cerebral blood pressure and cerebral hemorrhage in older adults.
Plain Language Summary 
This notion that SARS-COVID 2 virus only affects the respiratory system is incorrect because the virus can affect other systems, such as the heart and brain. Common symptoms of infection with the virus include high fever, cough, body aches, and shortness of breath. But other symptoms, such as a low level of consciousness, especially in adults, should be considered because this symptom can signify that the SARS-COVID 2 virus has entered the brain. In our study, an older person was admitted to the hospital with a low level of consciousness without other symptoms of COVID- 19 disease. After the examinations, the images of the lungs showed that the patient was suspected of COVID-19 disease, and after the test, the result was positive. Brain imaging also showed cerebral hemorrhage. As the SARS-COVID 2 virus enters the brain cells through the bloodstream or olfactory system, the mechanisms involved in maintaining the balance of blood pressure are disrupted, and blood pressure rises. In the elderly, rupture of arteries and intracerebral hemorrhage may occur due to decreased elasticity of the vessel wall. In the elderly, care should be taken to reduce the low of consciousness, and the patient should be examined for COVID-19 disease to prevent the transmission of the disease to others and the complications of the disease that can threaten the lives of the elderly.