A case report of aneurysmal subarachnoid hemorrhage in a Young with IgA: A mere co-existence?

Abstract

Introduction and importanceAneurysmal Subarachnoid hemorrhage (SAH) can be associated with various other conditions like Polycystic kidney disease, Ehler Danlos syndrome, Co-arctation of the aorta, etc.Case presentationHere we have reported a 21-year young lady with IgA nephropathy and aneurysmal SAH managed successfully.Clinical findings and investigationsThe patient was a known case of IgA nephropathy diagnosed 18 months back from a kidney biopsy. She came to the emergency with a headache and vomiting for 2 weeks. Her initial headache was the worst she has had experienced and then the headache was continuous and not relieved by medications. Then she underwent a noncontrast CT scan of the head which showed Subarachnoid hemorrhage (SAH).Interventions and outcomesLeft pterional craniotomy and microsurgical clipping of left ICA aneurysm performed. The patient was discharged without deficits.Relevance and impactAneurysmal Subarachnoid hemorrhage(SAH) can be due to histopathological changes to the vessels following IgA nephropathy. These correlations could be studied further or else it could be only a mere coincidence.