Subarachnoid hemorrhage following posterior spinal artery aneurysm: A case report and review of the literature
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. Endovascul...
Saved in:
Main Authors: | , , , , , |
---|---|
Other Authors: | |
Format: | Article |
Published: |
2018
|
Subjects: | |
Online Access: | https://repository.li.mahidol.ac.th/handle/123456789/29851 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Institution: | Mahidol University |
id |
th-mahidol.29851 |
---|---|
record_format |
dspace |
spelling |
th-mahidol.298512018-09-24T16:37:05Z Subarachnoid hemorrhage following posterior spinal artery aneurysm: A case report and review of the literature S. Geibprasert Timo Krings J. Apitzsoh M. H.T. Reinges K. W. Nolte F. J. Hans Medizinische Fakultat und Universitats Klinikum Aachen Mahidol University Toronto Western Hospital University of Toronto Medicine 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. 2018-09-24T09:37:05Z 2018-09-24T09:37:05Z 2010-01-01 Article Interventional Neuroradiology. Vol.16, No.2 (2010), 183-190 10.1177/159101991001600211 15910199 2-s2.0-77955164600 https://repository.li.mahidol.ac.th/handle/123456789/29851 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=77955164600&origin=inward |
institution |
Mahidol University |
building |
Mahidol University Library |
continent |
Asia |
country |
Thailand Thailand |
content_provider |
Mahidol University Library |
collection |
Mahidol University Institutional Repository |
topic |
Medicine |
spellingShingle |
Medicine S. Geibprasert Timo Krings J. Apitzsoh M. H.T. Reinges K. W. Nolte F. J. Hans Subarachnoid hemorrhage following posterior spinal artery aneurysm: A case report and review of the literature |
description |
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. |
author2 |
Medizinische Fakultat und Universitats Klinikum Aachen |
author_facet |
Medizinische Fakultat und Universitats Klinikum Aachen S. Geibprasert Timo Krings J. Apitzsoh M. H.T. Reinges K. W. Nolte F. J. Hans |
format |
Article |
author |
S. Geibprasert Timo Krings J. Apitzsoh M. H.T. Reinges K. W. Nolte F. J. Hans |
author_sort |
S. Geibprasert |
title |
Subarachnoid hemorrhage following posterior spinal artery aneurysm: A case report and review of the literature |
title_short |
Subarachnoid hemorrhage following posterior spinal artery aneurysm: A case report and review of the literature |
title_full |
Subarachnoid hemorrhage following posterior spinal artery aneurysm: A case report and review of the literature |
title_fullStr |
Subarachnoid hemorrhage following posterior spinal artery aneurysm: A case report and review of the literature |
title_full_unstemmed |
Subarachnoid hemorrhage following posterior spinal artery aneurysm: A case report and review of the literature |
title_sort |
subarachnoid hemorrhage following posterior spinal artery aneurysm: a case report and review of the literature |
publishDate |
2018 |
url |
https://repository.li.mahidol.ac.th/handle/123456789/29851 |
_version_ |
1763494954093510656 |