Abstract
Subarachnoid hemorrhage (SAH) is a life-threatening condition, often caused by an aneurysmal rupture. Generally, it presents with classical symptoms of thunderclap headache, along with other neurological findings; however, atypical presentations can also occur, hence leading to a delay in diagnosis, particularly in elderly patients. We present a case of a 71-year-old woman diagnosed with acute pancreatitis. Although her gastrointestinal symptoms improved, her confusion persisted, which prompted further investigation, leading to the diagnosis of SAH. This case report highlights the atypical presentation of SAH in the elderly population and urges clinicians to keep a high index of suspicion for such occurrences.