Isolated spinal artery aneurysm: a rare culprit of subarachnoid haemorrhage
| Autor: | Warren K.W. Leung, Jennifer L S Khoo, Bill M H Lai, Tony H T Sung |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
Chest Pain medicine.medical_specialty Subarachnoid hemorrhage Severity of Illness Index Culprit Rare Diseases Aneurysm medicine Humans cardiovascular diseases Vertebral Artery Aged medicine.diagnostic_test business.industry Laminectomy Magnetic resonance imaging General Medicine Subarachnoid Hemorrhage Spinal cord medicine.disease Spinal Artery Surgery Treatment Outcome medicine.anatomical_structure Subarachnoid haemorrhage Radiology Emergency Service Hospital Tomography X-Ray Computed business Vascular Surgical Procedures Magnetic Resonance Angiography Follow-Up Studies Sudden onset |
| Zdroj: | Hong Kong Medical Journal. :179-182 |
| ISSN: | 1024-2708 |
| DOI: | 10.12809/hkmj144230 |
| Popis: | Isolated spinal artery aneurysm is a rare lesion which could be accountable for spontaneous spinal subarachnoid haemorrhage. We describe the case of a 74-year-old man presenting with sudden onset of chest pain radiating to the neck and back, with subsequent headache and confusion. Initial computed tomography aortogram revealed incidental finding of subtle acute spinal subarachnoid haemorrhage. A set of computed tomography scans of the brain showed further acute intracranial subarachnoid haemorrhage with posterior predominance, small amount of intraventricular haemorrhage, and absence of intracranial vascular lesions. Subsequent magnetic resonance imaging demonstrated a thrombosed intradural spinal aneurysm with surrounding sentinel clot, which was trapped and excised during surgical exploration. High level of clinical alertness is required in order not to miss this rare but detrimental entity. Its relevant aetiopathological features and implications for clinical management are discussed. |
| Databáze: | OpenAIRE |
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