Work

Solitary Ruptured Aneurysm of the Spinal Artery of Adamkiewicz with Subarachnoid Hemorrhage

Year: 2013

Type: article

Abstract: pain, followed by nausea.On admission, she was alert, oriented, and cooperative.On neurological examination, she had moderate neck stiffness with mild lower limb motor weakness of IV/ V.She had no predisposing clinical disease history and trauma history.Laboratory examinations showed no abnormal findings suggestive of inflammation or infection.No abnormal findings were observed on brain computed tomography.However, brain magnetic resonance imaging (MRI) revealed thin SAH in right parietal lobe cortex.Whole spine MRI showed spinal SAH from T5 to sacrum with a small intradural extramedullary signal void lesion at the T12 level (Fig. 1).Spinal angiography revealed a small pearl and string-like aneurysm of a radiculomedullary branch of the left segmental artery (Adamkiewicz artery) originating on the left side at the L1 level (Fig. 2).Arteriovenous shunts or abnormal veins were not seen.The findings and treatment options were discussed with the patient's family, and we refrained from performing operative clipping or endovascular coiling of the aneurysm because of the high risk of occlusion of the anterior spinal artery during the procedure.Over time, the patient improved gradually and was discharged without new neurological deficits.However, one month after onset, she complained aggravation

Source: Journal of Korean Neurosurgical Society

DOI: 10.3340/jkns.2013.54.1.50

Authors: Seong Son, Sang-Gu Lee, Cheol-Wan Park

Institution: Gachon University Gil Medical Center

Language: English

Topic: Intracranial Aneurysms: Treatment and Complications

Subfield: Clinical Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $300