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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

Michael Veldeman 
1   Department of Neurosurgery, RWTH Aachen University, Aachen, Germany
,
Anke Höllig
1   Department of Neurosurgery, RWTH Aachen University, Aachen, Germany
,
Hans Clusmann
1   Department of Neurosurgery, RWTH Aachen University, Aachen, Germany
,
Gerrit Alexander Schubert
1   Department of Neurosurgery, RWTH Aachen University, Aachen, Germany
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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

Authors' Contributions

The report was conceptualized and drafted by M.V. All the authors were involved in the formulation and correction of the manuscript. M.V. created the illustrations, and all the authors approved the final manuscript.


Ethical Statement

This case report was written with the full informed consent of the patient and her family.




Publication History

Received: 30 January 2020

Accepted: 22 April 2020

Article published online:
14 February 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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