Solitary Ruptured Aneurysm of the Spinal Artery of Adamkiewicz with Subarachnoid Hemorrhage.
10.3340/jkns.2013.54.1.50
- Author:
Seong SON
1
;
Sang Gu LEE
;
Cheol Wan PARK
Author Information
1. Department of Neurosurgery, Gachon University, Gil Hospital, Incheon, Korea. samddal@gilhospital.com
- Publication Type:Case Report
- Keywords:
Subarachnoid hemorrhage;
Aneurysm;
Spine
- MeSH:
Aneurysm;
Aneurysm, Dissecting;
Aneurysm, Ruptured;
Angiography;
Arachnoid;
Arachnoiditis;
Arteries;
Back Pain;
Emergencies;
Female;
Follow-Up Studies;
Headache;
Humans;
Middle Aged;
Parietal Lobe;
Spine;
Subarachnoid Hemorrhage
- From:Journal of Korean Neurosurgical Society
2013;54(1):50-53
- CountryRepublic of Korea
- Language:English
-
Abstract:
Spinal subarachnoid hemorrhage (SAH) due to solitary spinal aneurysm is extremely rare. A 45-year-old female patient visited the emergency department with severe headache and back pain. Imaging studies showed cerebral SAH in parietal lobe and spinal SAH in thoracolumbar level. Spinal angiography revealed a small pearl and string-like aneurysm of the Adamkiewicz artery at the T12 level. One month after onset, her back pain aggravated, and follow-up imaging study showed arachnoiditis. Two months after onset, her symptoms improved, and follow-up imaging study showed resolution of SAH. The present case of spinal SAH due to rupture of dissecting aneurysm of the Adamkiewicz artery underwent subsequent spontaneous resolution, indicating that the wait-and-see strategy may provide adequate treatment option.
