Aneurysm of the Intradural Artery of Adamkiewicz Treated with Muslin Wrapping: Technical Case Report

Vishteh, A. Giancarlo; Brown, Adam P.; Spetzler, Robert F.

doi:10.1227/00006123-199701000-00047

Cited by 19 publications

(28 citation statements)

References 12 publications

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“…[1][2][3]5,[8][9][10][12][13][14][15]18,19) Three cases of spinal artery aneurysms were found to be fusiform, dissecting lesions at surgery. 11) Another ruptured posterior spinal artery aneurysm was confirmed to be a dissecting lesion by histopathological analysis.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical interventions, endovascular approaches, and wait-and-see strategies have been adopted. 1,2,4,10,18) Four patients died without surgery. Re-bleeding was confirmed or suspected in three of these patients.…”

Section: Discussionmentioning

confidence: 99%

“…10) Only 25 cases of ruptured isolated spinal artery aneurysms have been reported. [1][2][3][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] We describe a case of an isolated anterior spinal artery aneurysm manifesting as SAH and then eventually disappeared, as confirmed on follow-up angiography.…”

Section: Introductionmentioning

confidence: 99%

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Subarachnoid Hemorrhage Caused by a Ruptured Anterior Spinal Artery Aneurysm -Case Report-

Karakama

Nakagawa

Maehara

et al. 2010

Neurol. Med. Chir.(Tokyo)

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A 51-year-old man presented with an extremely rare case of intracranial subarachnoid hemorrhage caused by rupture of an anterior spinal artery aneurysm manifesting as disturbance of consciousness following sudden onset of neck pain and numbness of the extremities. Cranial computed tomography revealed subarachnoid hemorrhage, mainly in the posterior fossa. Cerebral angiography studies on admission and on the 4th day demonstrated no definite abnormality as a bleeding source. A ventricular catheter was inserted to treat the acute hydrocephalus, and conservative management was continued during the acute period. Third angiography on the 18th day demonstrated an anterior spinal artery aneurysm at the C1 level which was considered to be the bleeding site. After conservative treatment, the patient was discharged without neurological deficits. Fourth angiography on the 108th day disclosed spontaneous disappearance of the aneurysm, which was confirmed by the fifth angiography on the 269th day. If subarachnoid hemorrhage of unknown etiology is encountered, spinal artery aneurysm should be considered as the bleeding source. Despite the controversy concerning the treatment strategy, ruptured spinal artery aneurysms can be treated conservatively because of the possibility of spontaneous regression. Follow-up angiography is required to evaluate the natural course of the lesion.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Subarachnoid Hemorrhage Caused by a Ruptured Anterior Spinal Artery Aneurysm -Case Report-

Karakama

Nakagawa

Maehara

et al. 2010

Neurol. Med. Chir.(Tokyo)

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“…(Table 1). 1,5,15,20) The mean age of the patients was 45.2 years (range 30-69 years), with no sex preponderance. Symptoms caused by ruptured spinal artery aneurysms seem to correlate well with the location of the lesion.…”

Section: Case Reportmentioning

confidence: 96%

“…Most spinal artery aneurysms are small with diameters of º3 mm, and although both saccular and fusiform aneurysms have been identified, the latter are more frequent. 1,3,5,10,12,14,16,18,20,21) Three cases of spinal artery aneurysms were found to be fusiform dissecting lesions at surgery. 15) Some spinal artery aneurysms appear to be dissecting lesions.…”

Section: Case Reportmentioning

confidence: 99%

Dissection Aneurysm of the Radiculomedullary Branch of the Artery of Adamkiewicz With Subarachnoid Hemorrhage -Case Report-

Iihoshi

Miyata

Murakami

et al. 2011

Neurol. Med. Chir.(Tokyo)

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A 60-year-old female presented with sudden onset of severe headache and back pain, followed by nausea. The initial head computed tomography (CT) scan revealed posterior fossa subarachnoid hemorrhage (SAH). Spinal T 2 -weighted magnetic resonance imaging demonstrated SAH, and a homogeneous and slightly low signal intensity mass at T11. Spinal angiography in the early arterial phase revealed a small pearl and string-like aneurysm of the proximal radiculomedullary artery on the left side at the T12 level. Forty days after the onset of SAH, CT angiography demonstrated complete occlusion of the dissecting aneurysm and the preserved anterior spinal artery. The present case of ruptured dissecting aneurysm of the radiculomedullary branch of the artery of Adamkiewicz with SAH underwent subsequent spontaneous occlusion, indicating that the wait-and-see strategy may be justified and will provide adequate treatment.

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Spinal Vascular Lesions

Harrigan¹,

Deveikis²

2012

Handbook of Cerebrovascular Disease and Neurointerventional Technique

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Aneurysm of the Intradural Artery of Adamkiewicz Treated with Muslin Wrapping: Technical Case Report

Cited by 19 publications

References 12 publications

Subarachnoid Hemorrhage Caused by a Ruptured Anterior Spinal Artery Aneurysm -Case Report-

Subarachnoid Hemorrhage Caused by a Ruptured Anterior Spinal Artery Aneurysm -Case Report-

Dissection Aneurysm of the Radiculomedullary Branch of the Artery of Adamkiewicz With Subarachnoid Hemorrhage -Case Report-

Spinal Vascular Lesions

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