Surgical Removal of a Ruptured Radiculomedullary Artery Aneurysm: A Case Report.
10.7461/jcen.2017.19.3.217
- Author:
Seung Bin KIM
1
;
Seung Pil BAN
;
Hyun Jib KIM
;
O Ki KWON
Author Information
1. Department of Neurosurgery, Seoul National University Bundang Hospital, Seongnam, Korea. neurosurgeryban@gmail.com
- Publication Type:Case Report
- Keywords:
Spinal aneurysm;
Radiculomedullary artery;
Subarachnoid hemorrhage
- MeSH:
Aneurysm*;
Angiography;
Arteries*;
Behcet Syndrome;
Diagnosis;
Humans;
Leg;
Magnetic Resonance Imaging;
Middle Aged;
Subarachnoid Hemorrhage
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2017;19(3):217-222
- CountryRepublic 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.
