Spontaneous Spinal Subarachnoid Hemorrhage from a Ruptured Radiculopial Artery Aneurysm

2021 ◽  
Vol 145 ◽  
pp. 114-118
Author(s):  
Magalie Cadieux ◽  
Michael Tso ◽  
Shandy Fox ◽  
W. Bradley Jacobs
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Artery Aneurysm ◽  
Spinal Subarachnoid Hemorrhage

Dissecting Aneurysm of the Posterior Spinal Artery

Neurosurgery ◽  
2012 ◽  
Vol 71 (3) ◽  
pp. E749-E756 ◽  
Author(s):  
Hyun Jeong Kim ◽  
In Sup Choi
Keyword(s):  
Abdominal Pain ◽  
Subarachnoid Hemorrhage ◽  
Arteriovenous Malformations ◽  
Intracranial Aneurysms ◽  
Clinical Presentation ◽  
Artery Aneurysm ◽  
Dissecting Aneurysm ◽  
Posterior Spinal Artery ◽  
Spinal Subarachnoid Hemorrhage ◽  
Distal Flow

Abstract BACKGROUND AND IMPORTANCE: Because of their rarity, the pathogenesis and clinical features of isolated spinal artery aneurysms are still unclear, and their diagnoses and treatments are challenging. We report a case of an isolated posterior spinal artery aneurysm and review previous reports thoroughly to identify the general features of isolated spinal aneurysms. CLINICAL PRESENTATION: A 52-year-old man presented with abdominal pain followed by back pain and radiculopathy from subarachnoid hemorrhage in the spinal canal. The spinal angiogram demonstrated the presence of a dissecting aneurysm of the posterior spinal artery. He was treated by endovascular occlusion of the origin of the radiculopial artery and recovered completely. CONCLUSION: Isolated spinal artery aneurysms are very rare lesions; however, they should be considered in patients with intracranial or spinal subarachnoid hemorrhage without evidence of arteriovenous malformations. Spinal aneurysms have different etiologies compared with intracranial aneurysms. Cervical aneurysms have worse outcomes than thoracolumbar aneurysms. The etiology and location of the lesion and distal flow to the lesion should be taken into consideration when planning the treatment.

Dissecting Aneurysm of the L1 Radiculomedullary Artery Associated with Subarachnoid Hemorrhage: A Case Report

2021 ◽  
Author(s):  
Emanuela Crobeddu ◽  
Giulia Pilloni ◽  
Francesco Zenga ◽  
Christian Cossandi ◽  
Diego Garbossa ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Rare Event ◽  
Artery Aneurysm ◽  
Dissecting Aneurysm ◽  
Motor Deficit ◽  
Motor Weakness ◽  
Conservative Strategy ◽  
Severe Motor ◽  
Spinal Subarachnoid Hemorrhage ◽  
The Right

Abstract Background Both spinal artery aneurysm and spinal subarachnoid hemorrhage represent a very rare event. 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 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 Nowadays, therapeutic strategies for this aneurysm remain controversial. Conservative strategy can represent a valid alternative.

scholarly journals Extracranial Vertebral Artery Aneurysm Causing Spinal Subarachnoid Hemorrhage —Case Report—

1994 ◽  
Vol 34 (4) ◽  
pp. 230-232
Author(s):  
Eiji MORIYAMA ◽  
Katsuzo KUNISHIO ◽  
Hiroshi NORIKANE ◽  
Yuzo MATSUMOTO ◽  
Chie SHINOHARA ◽  
...  
Keyword(s):  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
Vertebral Artery ◽  
Artery Aneurysm ◽  
Spinal Subarachnoid Hemorrhage ◽  
Extracranial Vertebral Artery

MR Imaging Findings of Spinal Subarachnoid Hemorrhage: A Case Report

1994 ◽  
Vol 30 (3) ◽  
pp. 421
Author(s):  
Jae Hyoung Kim ◽  
Eui Dong Park ◽  
Hyung Jin Kirn ◽  
Choong Kun Ha
Keyword(s):  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
Mr Imaging ◽  
Imaging Findings ◽  
Spinal Subarachnoid Hemorrhage

scholarly journals An autopsy report of basilar artery aneurysm flow diversion complicated by postoperative day 3 hemorrhage from vessel rupture

2018 ◽  
Vol 11 (1) ◽  
pp. e014511 ◽  
Author(s):  
Azeem A Rehman ◽  
Ryan C Turner ◽  
Stephanie Wright ◽  
SoHyun Boo ◽  
Ansaar T Rai
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Basilar Artery ◽  
Artery Aneurysm ◽  
Symptomatic Improvement ◽  
Aneurysm Rupture ◽  
Flow Diversion ◽  
Atheromatous Plaque ◽  
Parent Artery ◽  
Autopsy Report ◽  
Complete Procedure

A middle-aged patient presented with posterior circulation symptoms attributable to a large eccentric basilar trunk aneurysm. The planned treatment was flow diversion with loose coil packing which was successfully performed using a Pipeline Flex device deployed from the basilar to the left posterior cerebral artery. The complete procedure including live biplane fluoroscopy was digitally recorded. The patient had symptomatic improvement postoperatively and was discharged on day 1. The patient suffered a cardiac arrest on postoperative day 3 secondary to massive intraventricular and subarachnoid hemorrhage. An aneurysm rupture was suspected; however, postmortem examination showed an intact aneurysm sac. The hemorrhage was attributed to a small focal rent in the distal basilar artery next to an atheromatous plaque. The Pipeline device was visible through the rent. This is an autopsy report documenting an injury to the parent artery and not the aneurysm as a source of fatal delayed subarachnoid hemorrhage following flow diversion.

Secondary Hemophagocytic Lymphohistiocytosis Causing Hemorrhagic Encephalomyelitis and Spinal Subarachnoid Hemorrhage: A Case Report

2021 ◽  
pp. 194187442110446
Author(s):  
Matthew R. Woodward ◽  
Margaret S. Ferris ◽  
Guillermo Rivell ◽  
Laura Malone ◽  
Tara M. Dutta ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Bone Marrow ◽  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
Bone Marrow Biopsy ◽  
Hemophagocytic Lymphohistiocytosis ◽  
Altered Mental Status ◽  
Clinical Context ◽  
Spinal Subarachnoid Hemorrhage ◽  
Secondary Hemophagocytic Lymphohistiocytosis

We are writing to present an interesting and novel case from our practice of a patient who presented with altered mental status and a rapidly progressive paraplegia as well as high fevers and pancytopenia. A bone marrow biopsy was diagnostic of hemophagocytic lymphohistiocytosis (HLH) and MRI showed hemorrhagic encephalitis and spinal subarachnoid hemorrhage. This case demonstrates the diverse neurological symptoms with which HLH presents, including spinal cord pathology. The astute neurologist should consider this diagnosis in the appropriate clinical context and diagnosis may require imaging to the complete neuraxis.

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