Browse > Article

Radiculopathy Caused by Internal Iliac Artery Pseudoaneurysm Managed with Endovascular Embolization  

Choi, Il (Department of Neurosurgery College of Medicine Soonchunhyang University)
Im, Soo-Bin (Department of Neurosurgery College of Medicine Soonchunhyang University)
Kim, Bum-Tae (Department of Neurosurgery College of Medicine Soonchunhyang University)
Shin, Won-Han (Department of Neurosurgery College of Medicine Soonchunhyang University)
Publication Information
Journal of Korean Neurosurgical Society / v.42, no.6, 2007 , pp. 484-486 More about this Journal
Abstract
The authors describe a case of pseudoaneurysm arising from internal iliac artery presented with radiculopathy mimicking the symptoms of lumbar disc disease or spinal cord tumor. Among the several preoperative evaluation including CT, MRI, electrophysiologic study and ultrasonography, important diagnostic clue was obtained by ultrasonographic findings of turbulence flow at the core of partially enhanced mass in the pelvic cavity. The patient was managed with endovascular coil embolization successfully. The current case makes us remind that assessment of neurological symptoms on lower extremity should include consideration of extraspinal cause in pelvis.
Keywords
Pseudoaneurysm; Internal iliac artery; Radiculopathy; Endovascular embolization;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
Times Cited By Web Of Science : 0  (Related Records In Web of Science)
연도 인용수 순위
1 Kleiner JB, Donaldson WF 3rd, Curd JG, Thorne RP : Extraspinal causes of lumbosacral radiculopathy. J Bone Joint Surg Am 73 : 817- 821, 1991   DOI   PUBMED
2 Wilberger Jr JE : Lumbosacral radiculopathy secondary to abdominal aortic aneurysms. Report of three cases. Neurol clin 58 : 965-967, 1983
3 de Baere T, Ousehal A, Kuoch V, Sapoval M, Lagrange C, Roche A : Endovascular management of bleeding iliac artery pseudoaneurysms complicating radiation therapy for pelvic malignancies. AJR Am J Roentgenol 170 : 349-353, 1998   DOI   PUBMED   ScienceOn
4 Dudeney S, O'Farrell D, Bouchier-Hayes D, Byrne J : Extraspinal causes of sciatica. A case report. Spine 23 : 494-496, 1998   DOI   ScienceOn
5 Larson J, O'Malley JE, Cohen TI : Case report : solitary pelvic osteochondroma presenting with L3 nerve root compression. Alaska Med 44 : 35-37, 2002   PUBMED
6 Todd GJ, DeRose JJ, Martin EC : Complementary surgical/interventional techniques for nonresective management of 'inoperable' aneurysms : a second look. Ann Vasc Surg 12 : 248-254, 1998   DOI   ScienceOn
7 Chapman EM, Shaw RS, Kubik CS : Sciatic pain from arterisclerotic aneurysm of pelvic arteries N Engl J Med 271 : 1410-1411, 1964   DOI   PUBMED   ScienceOn
8 Bickels J, Kahanovitz N, Rubert CK, Henshaw RM, Moss DP, Meller I, et al : Extraspinal bone and soft-tissue tumors as a cause of sciatica. Clinical diagnosis and recommendations : analysis of 32 cases. Spine 24 : 1611-1616, 1999   DOI   ScienceOn
9 Vetto JT, Culp SC, Smythe TB, Chang AE, Sindelar WF, Sugarbaker PH, et al : Iliac arterial-enteric fistulas occurring after pelvic irradiation. Surgery 101 : 643-647, 1987   PUBMED
10 Buckley JG, Salimi Z, George E : Late onset renal allograft anastomotic pseudoaneurysm with absent Doppler signal. J Urol 148 : 392-394, 1992   DOI   PUBMED
11 Kopell HP, Thompson WA, Postel AH : Entrapment neuropathy of the ilioinguinal nerve. N Engl J Med 266 : 16-19, 1962   DOI   PUBMED   ScienceOn
12 Parodi JC : Endovascular repair of aortic aneurysms, arteriovenous fistulas, and false aneurysms. World J Surg 20 : 655-663, 1996   DOI
13 Ladha SS, Spinner RJ, Suarez GA, Amrami KK, Dyck PJ : Neoplastic lumbosacral radiculoplexopathy in prostate cancer by direct perineural spread : an unusual entity. Muscle Nerve 34 : 659-665, 2006   DOI   ScienceOn
14 de Godoy JM, Reis LF, Casagrande M, Braile DM : Treatment of internal iliac artery pseudoaneurysm by an endovascular approach. J Chin Med Assoc 68 : 435-436, 2005   DOI   ScienceOn
15 Luzzio CC, Waclawik AJ, Gallagher CL, Knechtle SJ : Iliac artery pseudoaneurysm following renal transplantation presenting as lumbosacral plexopathy. Transplantation 67 : 1077-1078, 1999   DOI   ScienceOn
16 Donckier V, De Pauw L, Ferreira J, Hanquinet S, Hooghe L, Janssen F, et al : False aneurysm after transplant nephrectomy. Report of two cases. Transplantation 60 : 303-304, 1995   DOI
17 Jeong CA, Park KH, Jo YG : An iliac arteriovenous fistula and pseudoaneurysm after lumbar disc surgery. J Korean Neurosurg Soc 36 : 415-418, 2004
18 Fleshner NE, Johnston KW : Repair of an autotransplant renal artery aneurysm : case report and literature review. J Urol 148 : 389-391, 1992   DOI   PUBMED
19 Papadopoulos SM, McGillicuddy JE, Messina LM : Pseudoaneurysm of the inferior gluteal artery presenting as sciatic nerve compression. Neurosurgery 24 : 926-928, 1989   DOI   PUBMED