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
