| Selective treatment of an anterior spinal artery aneurysm with endosaccular coil therapy. Case report. | |
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MedLine Citation:
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PMID: 17542515 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The authors report the case of a 12-year-old boy with spinal cord arteriovenous malformation (AVM) and an associated anterior spinal artery (ASA) aneurysm treated with selective coil placement in the context of subarachnoid hemorrhage (SAH). The patient presented with headache. Head computed tomography scanning revealed no abnormal findings. The cerebrospinal fluid was sampled and analyzed and a diagnosis of SAH was established. Investigation, including magnetic resonance imaging of the cord as well as cerebral and spinal angiography, revealed a conus medullaris AVM and a saccular aneurysm located on the ASA at the T-11 level. The aneurysm was thought to be responsible for the bleeding. Superselective ASA angiography showed that the aneurysm was at the bifurcation between a large coronal artery supplying the AVM and the ASA. The relation of the aneurysm's neck to the main spinal axis and the aneurysm's morphological features indicated that the lesion was suited for endosaccular coil therapy. The aneurysm was selectively occluded, using electrodetachable bare platinum coils. Follow-up angiography immediately after surgery and at 6 months thereafter demonstrated complete occlusion of the aneurysm and a perfectly patent anterior spinal axis. On clinical follow-up examination, the patient remained neurologically intact. When the morphological features of a spinal aneurysm and its relation with the anterior spinal axis are favorable, selective endosaccular coil placement can successfully be achieved. |
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Authors:
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Pascale Lavoie; Jean Raymond; Daniel Roy; François Guilbert; Alain Weill |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of neurosurgery. Spine Volume: 6 ISSN: 1547-5654 ISO Abbreviation: - Publication Date: 2007 May |
Date Detail:
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Created Date: 2007-06-04 Completed Date: 2007-06-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101223545 Medline TA: J Neurosurg Spine Country: United States |
Other Details:
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Languages: eng Pagination: 460-4 Citation Subset: IM |
Affiliation:
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Department of Surgery, Neurosurgery Service, Université Laval, Québec, Canada. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aneurysm
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complications,
diagnosis,
therapy* Angiography Arteriovenous Malformations / complications Child Diagnosis, Differential Embolization, Therapeutic* Humans Male Spine / blood supply* Subarachnoid Hemorrhage / diagnosis, etiology Thoracic Vertebrae Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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