| Subarachnoid hemorrhage following posterior spinal artery aneurysm. A case report and review of the literature. | |
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MedLine Citation:
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PMID: 20642894 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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S Geibprasert; T Krings; J Apitzsch; M H T Reinges; K W Nolte; F J Hans |
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Publication Detail:
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Type: Case Reports; Journal Article; Review Date: 2010-07-19 |
Journal Detail:
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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:
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Created Date: 2010-07-20 Completed Date: 2010-10-07 Revised Date: 2012-09-24 |
Medline Journal Info:
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Nlm Unique ID: 9602695 Medline TA: Interv Neuroradiol Country: Italy |
Other Details:
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Languages: eng Pagination: 183-90 Citation Subset: IM |
Affiliation:
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Department of Neuroradiology, Toronto Western Hospital, Toronto, Canada. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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 |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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