Document Detail


Acute cauda equina syndrome from a ruptured aneurysm in the sacral canal. Case report.
MedLine Citation:
PMID:  1432139     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The case is presented of a young woman with acute cauda equina syndrome from a ruptured aneurysm in the sacral canal. The lesion was associated with pathological enlargement of the lateral sacral arteries bilaterally, which presumably occurred to provide cross-pelvic collateral flow in response to the diversion of the right internal iliac artery for renal transplantation. The patient presented with signs and symptoms of spontaneous spinal epidural hemorrhage. The radiographic features of this lesion are described. In addition to angiography and partial embolization of the vascular supply, contrast-enhanced high-resolution computerized tomography was essential in the diagnosis and treatment of this unique aneurysm.
Authors:
R H Schmidt; M S Grady; W Cohen; S Wright; H R Winn
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  77     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  1992 Dec 
Date Detail:
Created Date:  1992-12-17     Completed Date:  1992-12-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  945-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Neurological Surgery, University of Washington, Harborview Medical Center, Seattle.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Aneurysm, Ruptured / complications*,  diagnosis,  surgery
Cauda Equina*
Female
Humans
Magnetic Resonance Imaging
Nerve Compression Syndromes / etiology*
Reoperation
Rupture, Spontaneous
Spinal Canal*
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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