Subarachnoid Hemorrhage Following Posterior Spinal Artery Aneurysm A Case Report and Review of the Literature

被引:40
作者
Geibprasert, S. [2 ,6 ]
Krings, T. [1 ,2 ]
Apitzsch, J. [3 ]
Reinges, M. H. T. [6 ]
Nolte, K. W. [5 ]
Hans, F. J. [4 ]
机构
[1] Toronto Western Hosp, Univ Hlth Network, Div Neuroradiol, Dept Med Imaging, Toronto, ON M5T 2S8, Canada
[2] Aachen Univ Hosp, Dept Neuroradiol, Aachen, Germany
[3] Aachen Univ Hosp, Dept Radiol, Aachen, Germany
[4] Aachen Univ Hosp, Clin Neurosurg, Aachen, Germany
[5] Aachen Univ Hosp, Dept Neuropathol, Aachen, Germany
[6] Mahidol Univ, Ramathibodi Hosp, Dept Radiol, Bangkok 10700, Thailand
关键词
spinal aneurysm; posterior spinal artery; spinal subarachnoid hemorrhage; arterial dissection; EXTRACRANIAL VERTEBRAL ARTERY; RADICULOMEDULLARY ARTERY; ARTERIOVENOUS-FISTULA; DISSECTING ANEURYSM; RUPTURED ANEURYSM; CORD; PATIENT; PSEUDOANEURYSM; ADAMKIEWICZ; ANGIOGRAPHY;
D O I
10.1177/159101991001600211
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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. Endo vascular 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, M RI 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.
引用
收藏
页码:183 / 190
页数:8
相关论文
共 37 条
[1]   SPONTANEOUS DISSECTION OF THE EXTRACRANIAL VERTEBRAL ARTERY WITH SPINAL SUBARACHNOID HEMORRHAGE IN A PATIENT WITH BEHCETS-DISEASE [J].
BAHAR, S ;
COBAN, O ;
GURVIT, IH ;
AKMANDEMIR, G ;
GOKYIGIT, A .
NEURORADIOLOGY, 1993, 35 (05) :352-354
[2]  
Berlis A, 2005, AM J NEURORADIOL, V26, P405
[3]  
DJINDJIAN R, 1974, SURG NEUROL, V2, P179
[4]   A GIANT SPINAL ANEURYSM WITH CORD AND ROOT COMPRESSION [J].
ELMAHDI, MA ;
RUDWAN, MA ;
KHAFFAJI, SM ;
JADALLAH, FA .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1989, 52 (04) :532-535
[5]   RUPTURED ANEURYSM OF THE SPINAL ARTERY OF ADAMKIEWICZ DURING PREGNANCY [J].
GARCIA, CA ;
DULCEY, S ;
DULCEY, J .
NEUROLOGY, 1979, 29 (03) :394-398
[6]   RUPTURED ANEURYSM OF THE POSTERIOR SPINAL ARTERY OF THE UPPER CERVICAL SPINAL-CORD - CASE-REPORT [J].
GOTO, Y ;
KAMIJYO, Y ;
YONEKAWA, Y ;
KIKUCHI, H .
NEUROSURGERY, 1988, 22 (03) :558-560
[7]   ISOLATED INTRAMEDULLARY SPINAL ARTERY ANEURYSM PRESENTING WITH QUADRIPLEGIA [J].
HANDA, T ;
SUZUKI, Y ;
SAITO, K ;
SUGITA, K ;
PATEL, SJ .
JOURNAL OF NEUROSURGERY, 1992, 77 (01) :148-150
[8]  
HENSON RA, 1956, Q J MED, V25, P53
[9]  
Hino H, 1989, Rinsho Shinkeigaku, V29, P1009
[10]   EXTRAMEDULLARY ANEURYSM OF SPINAL CORD - CASE REPORT [J].
HOPKINS, CA ;
WILKIE, FL ;
VORIS, DC .
JOURNAL OF NEUROSURGERY, 1966, 24 (06) :1021-&