Dissecting Aneurysm of the L1 Radiculomedullary Artery Associated with Subarachnoid Hemorrhage: A Case Report

Author:

Crobeddu Emanuela1,Pilloni Giulia2ORCID,Zenga Francesco3,Cossandi Christian4,Garbossa Diego5,Lanotte Michele5

Affiliation:

1. Department of Neuroscience/Neurosurgery, University of Turin, Novara, Italy

2. Department of Neurosurgery, Hospital Santa Corona Pietra Ligure, Pietra Ligure, Italy

3. Department of Neurosurgery, University of Turin, Turin, Italy

4. Department of Neurosurgery, AOU Maggiore della Carità, Novara, Italy

5. Department of Neuroscience/Neurosurgery, University of Turin, Torino, Piemonte, Italy

Abstract

Abstract Background Both spinal artery aneurysm and spinal subarachnoid hemorrhage represent a very rare event. Methods We report a case of a ruptured dissecting aneurysm of the right L1 radiculomedullary artery associated with subarachnoid hemorrhage and severe motor weakness. Results An urgent decompressive hemilaminectomy was performed due to worsening in motor deficit. A subsequent spinal angiography showed a dissection of radiculomedullary artery of L1 on the right side, treated conservatively. Conclusion Nowadays, therapeutic strategies for this aneurysm remain controversial. Conservative strategy can represent a valid alternative.

Publisher

Georg Thieme Verlag KG

Subject

Neurology (clinical),Surgery

Reference24 articles.

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2. Bleeding spinal artery aneurysms;P Longatti;J Neurosurg Spine,2008

3. Subarachnoid haemorrhage due to cervical spinal cord haemangioblastomas in a patient with von Hippel-Lindau disease;A Berlis;Acta Neurochir (Wien),2003

4. Subarachnoid hemorrhage due to isolated spinal artery aneurysm in four patients;M G Massand;AJNR Am J Neuroradiol,2005

5. Pseudoaneurysm of the thoracic radiculomedullary artery with subarachnoid hemorrhage. Case report;T Yahiro;J Neurosurg,2004

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