Coarctation of the Aorta Presenting as Spontaneous Subarachnoid Haemorrhage in the Absence of Cerebral Aneurysm: A Report of a Rare Clinical Entity

Subarachnoid haemorrhage (SAH) is a common neurologic event characterised by bleeding into the space immediately surrounding the brain. In non-traumatic SAH, the predominant cause is aneurysmal rupture of the cerebral vasculature. A significant number occur in the absence of vascular anomalies. This report describes a case of a 35-year-old male who presented with a subarachnoid haemorrhage in the absence of intracranial aneurysm. Subsequent workup demonstrated severe proximal hypertension due to congenital aortic coarctation as the cause of this event. This case demonstrates the importance of considering congenital abnormalities when evaluating patients with cerebrovascular events in the absence of common aetiologies.