Affiliation:
1. Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona
Abstract
Abstract
INTRODUCTION:
Isolated spinal aneurysms are rare; only a few have been reported. To the best of our knowledge, this series represents the largest experience with four ruptured spinal aneurysms, all of which were treated surgically.
METHODS:
Clinical information from the hospital charts and diagnostic images of four patients with the diagnosis of spinal aneurysms were reviewed from the senior authors' (RFS, JMZ) office database, surgical reports, and radiological imaging database. Follow-up examinations were performed by phone interview, when possible, and by chart review.
RESULTS:
Between 1997 and 2004, four patients with ruptured spinal aneurysms underwent surgical treatment. All aneurysms were located within the spinal canal and manifested with spinal subarachnoid hemorrhage. No collagen disease, aortic coartaction, arteriovenous fistula, or arteriovenous malformations were identified in these patients.
CONCLUSION:
Subarachnoid hemorrhage within the spinal cord can be caused by ruptured aneurysms. Spinal aneurysms are rare, but should be considered within the differential diagnosis of patients with intracranial subarachnoid hemorrhage when cranial angiography is negative. Magnetic resonance imaging and selective spinal angiography are useful for workup, but definitive diagnosis may require surgical exploration.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Neurology (clinical),Surgery
Reference17 articles.
1. Treatment of fusiform intracranial aneurysms by circumferential wrapping with clip reinforcement. Technical note;Bederson;J Neurosurg,1992
2. Aneurysms of the lateral spinal artery: Report of two cases;Chen;Neurosurgery,2001
3. Extramedullary aneurysm of the spinal cord;Echols;New Orleans Med Surg J,1941
4. A giant spinal aneurysm with cord and root compression;el Mahdi;J Neurol Neurosurg Psychiatry,1989
5. Ruptured aneurysm of the spinal artery of Adamkiewicz during pregnancy;Garcia;Neurology,1979
Cited by
56 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献