An unusual cause of subarachnoid haemorrhage in a patient with newly diagnosed neurofibromatosis: a case report

Introduction

In this report we discuss an unusual cause of subarachnoid haemorrhage in association with neurofibromatosis.

Case presentation

A previously fit 55-year-old man developed sudden onset headache with loss of consciousness. He was comatose on admission with no focal neurological signs. Numerous neurofibromas and café-au-lait patches were noted, indicating neurofibromatosis type 1 which had not been previously diagnosed. Computer Tomography brain revealed a grade IV subarachnoid haemorrhage in association with numerous vascular lesions on cerebral angiography.

Conclusion

A rare cause of subarachnoid haemorrhages was identified and is discussed in detail.