Journal of Korean Neurosurgical Society

  • 제54권1호
  • /
  • Pages.50-53
  • /
  • 2013
  • /
  • 2005-3711(pISSN)
  • /
  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지
DOI QR코드

DOI QR Code

Solitary Ruptured Aneurysm of the Spinal Artery of Adamkiewicz with Subarachnoid Hemorrhage

  • Son, Seong (Department of Neurosurgery, Gachon University, Gil Hospital) ;
  • Lee, Sang-Gu (Department of Neurosurgery, Gachon University, Gil Hospital) ;
  • Park, Cheol-Wan (Department of Neurosurgery, Gachon University, Gil Hospital)
  • 투고 : 2012.12.03
  • 심사 : 2013.07.08
  • 발행 : 2013.07.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

  1. Berlis A, Scheufler KM, Schmahl C, Rauer S, Gotz F, Schumacher M : Solitary spinal artery aneurysms as a rare source of spinal subarachnoid hemorrhage : potential etiology and treatment strategy. AJNR Am J Neuroradiol 26 : 405-410, 2005
  2. Garcia CA, Dulcey S, Dulcey J : Ruptured aneurysm of the spinal artery of Adamkiewicz during pregnancy. Neurology 29 : 394-398, 1979 https://doi.org/10.1212/WNL.29.3.394
  3. Gonzalez LF, Zabramski JM, Tabrizi P, Wallace RC, Massand MG, Spetzler RF : Spontaneous spinal subarachnoid hemorrhage secondary to spinal aneurysms : diagnosis and treatment paradigm. Neurosurgery 57 : 1127-1131; discussion 1127-1131, 2005 https://doi.org/10.1227/01.NEU.0000186010.34779.10
  4. Hino H, Maruyama H, Inomata H : [A case of spinal artery aneurysm presenting transverse myelopathy associated with coarctation of the aorta]. Rinsho Shinkeigaku 29 : 1009-1012, 1989
  5. Iihoshi S, Miyata K, Murakami T, Kaneko T, Koyanagi I : Dissection aneurysm of the radiculomedullary branch of the artery of Adamkiewicz with subarachnoid hemorrhage. Neurol Med Chir (Tokyo) 51 : 649-652, 2011 https://doi.org/10.2176/nmc.51.649
  6. Kawamura S, Yoshida T, Nonoyama Y, Yamada M, Suzuki A, Yasui N : Ruptured anterior spinal artery aneurysm : a case report. Surg Neurol 51 : 608-612, 1999 https://doi.org/10.1016/S0090-3019(98)00114-1
  7. Lavoie P, Raymond J, Roy D, Guilbert F, Weill A : Selective treatment of an anterior spinal artery aneurysm with endosaccular coil therapy. Case report. J Neurosurg Spine 6 : 460-464, 2007 https://doi.org/10.3171/spi.2007.6.5.460
  8. Massand MG, Wallace RC, Gonzalez LF, Zabramski JM, Spetzler RF : Subarachnoid hemorrhage due to isolated spinal artery aneurysm in four patients. AJNR Am J Neuroradiol 26 : 2415-2419, 2005
  9. Moore DW, Hunt WE, Zimmerman JE : Ruptured anterior spinal artery aneurysm : repair via a posterior approach. Neurosurgery 10 : 626-630, 1982 https://doi.org/10.1227/00006123-198205000-00015
  10. Vishteh AG, Brown AP, Spetzler RF : Aneurysm of the intradural artery of Adamkiewicz treated with muslin wrapping : technical case report. Neurosurgery 40 : 207-209, 1997

피인용 문헌

  1. Ruptured Isolated Spinal Artery Aneurysms Report of Two Cases and Review of the Literature vol.20, pp.6, 2013, https://doi.org/10.15274/inr-2014-10074
  2. Microsurgical anatomy of the Adamkiewicz artery-anterior spinal artery junction vol.38, pp.5, 2013, https://doi.org/10.1007/s00276-015-1596-3
  3. Surgical Removal of a Ruptured Radiculomedullary Artery Aneurysm: A Case Report vol.19, pp.3, 2013, https://doi.org/10.7461/jcen.2017.19.3.217
  4. Ruptured aneurysm of the artery of Adamkiewicz: is conservative management the standard of treatment in the current era? vol.10, pp.8, 2013, https://doi.org/10.1136/neurintsurg-2017-013194.rep
  5. Emergency Embolization of Artery of Adamkiewicz Pseudoaneurysm Following Methylenedioxymethamphetamine Abuse vol.46, pp.1, 2013, https://doi.org/10.1017/cjn.2018.372
  6. Minimally Invasive Approach for the Removal of a Ruptured Radiculomedullary Artery Aneurysm: Case Report and Literature Review vol.126, pp.None, 2013, https://doi.org/10.1016/j.wneu.2019.03.225
  7. Subarachnoid Hemorrhage due to Ruptured Spinal Artery Aneurysm: A Diagnostic Challenge vol.12, pp.suppl1, 2020, https://doi.org/10.1159/000507953
  8. Anterior Spinal Artery Steal Syndrome Complicated by Ruptured Flow-Related Aneurysm of the Anterior Radiculomedullary Artery vol.144, pp.None, 2013, https://doi.org/10.1016/j.wneu.2020.08.195
  9. Ruptured Spinal Aneurysms: Diagnosis and Management Paradigms vol.146, pp.None, 2021, https://doi.org/10.1016/j.wneu.2020.10.098