Document Detail


Traction-induced rupture of an extracranial vertebral artery aneurysm associated with neurofibromatosis. A case report.
MedLine Citation:
PMID:  9122806     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: This report describes presumed traction-induced rupture of a vertebral artery aneurysm in a patient with neurofibromatosis Type I. OBJECTIVE: To draw attention to the need for preoperative arteriography in the surgical management of severe cervical kyphosis in neurofibromatosis. SUMMARY OF BACKGROUND DATA: Aneurysmal dilatation is a rare but well-documented manifestation of neurofibromatosis. The complication of rupture of a vertebral artery lesion has not been described previously. METHODS: The clinical features of the reported complication in a 56-year-old woman are detailed. RESULTS: A successful outcome was achieved by embolization and later anterior and posterior spinal fusions. CONCLUSIONS: Vertebral arteriography should be part of the preoperative assessment of neurofibromatotic cervical kyphosis. Skull traction may produce aneurysmal rupture.
Authors:
M Horsley; T K Taylor; W A Sorby
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Spine     Volume:  22     ISSN:  0362-2436     ISO Abbreviation:  Spine     Publication Date:  1997 Jan 
Date Detail:
Created Date:  1997-04-24     Completed Date:  1997-04-24     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  225-7     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics and Traumatic Surgery, Royal North Shore Hospital, Sydney, Australia.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, Ruptured / diagnosis,  etiology*,  therapy
Angiography
Cervical Vertebrae / blood supply,  pathology
Embolization, Therapeutic
Female
Humans
Kyphosis / therapy
Magnetic Resonance Imaging
Middle Aged
Neurofibromatosis 1 / complications*
Traction / adverse effects*
Vertebral Artery / injuries*,  pathology,  radiography

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


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