Coarctation of the Aorta as a Rare Indirect Cause of Aneurysmal Subarachnoid Hemorrhage in the Adolescent: A Case Report and Review of the Literature

Michael Veldeman; Anke Höllig; Hans Clusmann; Gerrit Alexander Schubert

doi:10.1055/s-0040-1721000

Journal of Neurological Surgery Part A: Central European Neurosurgery, Table of Contents

J Neurol Surg A Cent Eur Neurosurg 2022; 83(03): 286-289
DOI: 10.1055/s-0040-1721000

Case Report

Coarctation of the Aorta as a Rare Indirect Cause of Aneurysmal Subarachnoid Hemorrhage in the Adolescent: A Case Report and Review of the Literature

Authors

Michael Veldeman

¹Department of Neurosurgery, RWTH Aachen University, Aachen, Germany
Anke Höllig

¹Department of Neurosurgery, RWTH Aachen University, Aachen, Germany
Hans Clusmann

¹Department of Neurosurgery, RWTH Aachen University, Aachen, Germany
Gerrit Alexander Schubert

¹Department of Neurosurgery, RWTH Aachen University, Aachen, Germany

Abstract

Aneurysmal subarachnoid hemorrhage (SAH) is rare in teenagers. We present the case of a 19-year-old woman with an aneurysmal SAH and four anterior circulation aneurysms. Due to the urgency of operative treatment, no initial conventional cerebral angiography was performed. The CT angiography depicted the aortic arch incompletely. The coarctation was discovered on day 5 after ictus in a cerebral angiography for vasospasm surveillance. We believe that in young SAH patients without an explainable predilection for aneurysm formation, imaging of the aortic arch during the initial CT angiography, not to miss a coarctation of the aorta, is highly recommended.

Keywords

subarachnoid hemorrhage - coarctation of the aorta - cerebral aneurysm

Full Text

References

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