Devara K V A, Joseph S, Uppu S C
Department of Radiology, Medall Healthcare Private Ltd, King George hospital, Visakhapatnam, India.
Images Paediatr Cardiol. 2012 Oct;14(4):1-3.
The occurrence of spontaneous subarachnoid haemorrhage (SAH) in association with coarctation of thoracic aorta and absence of intracranial aneurysm is a rare association. In spontaneous SAH, the predominant cause is intracranial aneurysmal rupture. This report describes a case of a 40 year-old male who presented with SAH and was incidentally diagnosed to have coarctation of aorta (CoA) with intraspinal collaterals on further work up. This case demonstrates the importance of detailed evaluation of patients with spontaneous SAH on whom common aetiologies have been ruled out.
自发性蛛网膜下腔出血(SAH)合并胸主动脉缩窄且无颅内动脉瘤是一种罕见的关联情况。在自发性SAH中,主要病因是颅内动脉瘤破裂。本报告描述了一例40岁男性患者,该患者表现为SAH,在进一步检查中偶然诊断为主动脉缩窄(CoA)并伴有脊髓侧支循环。该病例表明,对于已排除常见病因的自发性SAH患者进行详细评估的重要性。