Journal of Cerebrovascular and Endovascular Neurosurgery  2017;19(3):217-222

doi:10.7461/jcen.2017.19.3.217

Surgical Removal of a Ruptured Radiculomedullary Artery Aneurysm: A Case Report.

Seung Bin KIM 1 ; Seung Pil BAN ; Hyun Jib KIM ; O Ki KWON

Affiliations

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Keywords

Spinal aneurysm; Radiculomedullary artery; Subarachnoid hemorrhage

Country

Republic of Korea

Language

English

Abstract

Subarachnoid hemorrhage due to a solitary spinal aneurysm is extremely rare, and diagnosis and treatment are challenging. We report a rare case of a ruptured radiculomedullary artery aneurysm in a patient with Behçet disease. A 49-year-old man presented with severe lower abdominal and leg pain. Magnetic resonance imaging was performed and an enhanced intradural-extramedullary lesion at the T12 spinal level with subarachnoid hemorrhage was identified. Diagnostic spinal angiography was performed to evaluate the vascular lesion, and a radiculomedullary artery aneurysm at the T12 level was identified. We performed surgical resection of the aneurysm and a good neurological outcome was obtained.