Dissecting Aneurysm of the L1 Radiculomedullary Artery Associated with Subarachnoid Hemorrhage: A Case Report.
Journal
Journal of neurological surgery. Part A, Central European neurosurgery
ISSN: 2193-6323
Titre abrégé: J Neurol Surg A Cent Eur Neurosurg
Pays: Germany
ID NLM: 101580767
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
pubmed:
5
2
2021
medline:
4
2
2022
entrez:
4
2
2021
Statut:
ppublish
Résumé
Both spinal artery aneurysm and spinal subarachnoid hemorrhage represent a very rare event. We report a case of a ruptured dissecting aneurysm of the right L1 radiculomedullary artery associated with subarachnoid hemorrhage and severe motor weakness. An urgent decompressive hemilaminectomy was performed due to worsening in motor deficit. A subsequent spinal angiography showed a dissection of radiculomedullary artery of L1 on the right side, treated conservatively. Nowadays, therapeutic strategies for this aneurysm remain controversial. Conservative strategy can represent a valid alternative.
Sections du résumé
BACKGROUND
BACKGROUND
Both spinal artery aneurysm and spinal subarachnoid hemorrhage represent a very rare event.
METHODS
METHODS
We report a case of a ruptured dissecting aneurysm of the right L1 radiculomedullary artery associated with subarachnoid hemorrhage and severe motor weakness.
RESULTS
RESULTS
An urgent decompressive hemilaminectomy was performed due to worsening in motor deficit. A subsequent spinal angiography showed a dissection of radiculomedullary artery of L1 on the right side, treated conservatively.
CONCLUSION
CONCLUSIONS
Nowadays, therapeutic strategies for this aneurysm remain controversial. Conservative strategy can represent a valid alternative.
Identifiants
pubmed: 33540447
doi: 10.1055/s-0040-1720997
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
99-103Informations de copyright
Thieme. All rights reserved.
Déclaration de conflit d'intérêts
None declared.