Background and Objectives: Agitation and headache in patients recovering from anesthesia can be attributed to several causes among them are drugs administered pre-and intra-operatively, physical problems such as painful surgical procedures and finally some unusual complications like subarachnoid hemorrhage after orbital decompression, all of which deserve to be considered in these cases presenting poor consciousness and headache in the recovery.

 In this study, we reported a rare case of subarachnoid hemorrhage.

Case Report: The patient was a 23 year-old woman with a known case of graves’ ophthalmopathy wishing to undergo orbital decompression surgery who, then, showed severe headache and agitation in recovery. subsequent evaluation revealed that its main cause was subarachnoid hemorrhage due to meningeal intrusion.