Document Detail


Subarachnoid hemorrhage following posterior spinal artery aneurysm. A case report and review of the literature.
MedLine Citation:
PMID:  20642894     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Isolated posterior spinal artery aneurysms are rare vascular lesions. We describe the case of a 43-year-old man presenting with spinal subarachnoid hemorrhage after a minor trauma who was found to have a dissecting aneurysm of a posterior spinal artery originating from the right T4 level. Endovascular treatment was not contemplated because of the small size of the feeding artery, whereas surgical resection was deemed more appropriate because of the posterolateral perimedullary location that was well appreciated on CT angiography. After surgical resection of the aneurysm the patient had a complete neurological recovery. In comparison to anterior spinal artery aneurysms whose pathogenesis is diverse, posterior spinal aneurysms are most often secondary to a dissection and represent false or spurious aneurysms. Although the definite diagnosis still requires spinal angiography, MRI and CT may better delineate the relationship of the aneurysm to the spinal cord in order to determine the best treatment method. Prompt treatment is recommended as they have high rebleeding and mortality rates.
Authors:
S Geibprasert; T Krings; J Apitzsch; M H T Reinges; K W Nolte; F J Hans
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2010-07-19
Journal Detail:
Title:  Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences     Volume:  16     ISSN:  1591-0199     ISO Abbreviation:  Interv Neuroradiol     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-07-20     Completed Date:  2010-10-07     Revised Date:  2012-09-24    
Medline Journal Info:
Nlm Unique ID:  9602695     Medline TA:  Interv Neuroradiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  183-90     Citation Subset:  IM    
Affiliation:
Department of Neuroradiology, Toronto Western Hospital, Toronto, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adult
Angiography
Humans
Magnetic Resonance Imaging
Male
Spinal Cord / blood supply*
Spinal Cord Vascular Diseases* / pathology,  radiography,  surgery
Subarachnoid Hemorrhage* / pathology,  radiography,  surgery
Tomography, X-Ray Computed
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