Endovascular Treatment of Ruptured Enlarging Dissecting Anterior Spinal Artery Aneurysm
| Autor: | Mary In-Ping Huang Cobb, Isaac O. Karikari, L. Fernando Gonzalez, Andrew S. Griffin |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Subarachnoid hemorrhage medicine.medical_treatment Anterior spinal artery Dissection (medical) Aneurysm Ruptured Neurosurgical Procedures 03 medical and health sciences 0302 clinical medicine Hematoma Aneurysm medicine.artery medicine Humans Dimethyl Sulfoxide cardiovascular diseases Child Spinal cord injury Aged business.industry Endovascular Procedures Angiography Laminectomy Arteries Middle Aged medicine.disease Embolization Therapeutic Magnetic Resonance Imaging Spine Surgery 030220 oncology & carcinogenesis cardiovascular system Polyvinyls Neurology (clinical) Artery of Adamkiewicz business 030217 neurology & neurosurgery |
| Zdroj: | World neurosurgery. 139 |
| ISSN: | 1878-8769 |
| Popis: | Background Aneurysms of the anterior spinal artery are extremely rare. Unlike intracranial saccular aneurysms, they do not occur at branch points, are typically pseudoaneurysms, and rupture secondary to a dissection. They typically present with subarachnoid hemorrhage and demonstrate clinical and radiographic improvement over time without treatment. Methods We present here the first case to date of a ruptured anterior spinal artery aneurysm with clinical and radiographic progression treated with Onyx embolization. Our patient was unique in the presentation with acute onset of spinal cord injury American Spinal Injury Association B and an extensive thoracolumbar subdural hematoma. Results An emergent skip-level laminectomy and subdural decompression were performed with no improvement in examination. This was followed by progressive radiographic enlargement of the aneurysm, treated successfully with Onyx embolization. Conclusions We analyze this case and review the literature on thoracic anterior spinal artery and artery of Adamkiewicz aneurysms. |
| Databáze: | OpenAIRE |
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