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http://dx.doi.org/10.3340/jkns.2013.54.1.50

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)
Publication Information
Journal of Korean Neurosurgical Society / v.54, no.1, 2013 , pp. 50-53 More about this Journal
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.
Keywords
Subarachnoid hemorrhage; Aneurysm; Spine;
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