Clinical presentation and treatment considerations of a ruptured posterior spinal artery pseudoaneurysm

Donnie L Bell; Christopher J Stapleton; Anna R Terry; James R Stone; Christopher S Ogilvy

doi:10.1016/j.jocn.2014.01.002

Clinical presentation and treatment considerations of a ruptured posterior spinal artery pseudoaneurysm

J Clin Neurosci. 2014 Jul;21(7):1273-6. doi: 10.1016/j.jocn.2014.01.002. Epub 2014 Jan 30.

Authors

Donnie L Bell¹, Christopher J Stapleton², Anna R Terry³, James R Stone⁴, Christopher S Ogilvy⁵

Affiliations

¹ Division of Interventional Neuroradiology/Endovascular Neurosurgery, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
² Department of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, 55 Fruit Street, ACC-745, Boston, MA 02114, USA. Electronic address: cstapleton@partners.org.
³ Department of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, 55 Fruit Street, ACC-745, Boston, MA 02114, USA.
⁴ Department of Pathology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
⁵ Division of Neurosurgery, Department of Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA.

PMID: 24572933
DOI: 10.1016/j.jocn.2014.01.002

Abstract

Spinal artery pseudoaneurysms are rare vascular lesions with poorly defined natural history, diagnostic paradigms, and treatment strategies. We present a 68-year-old woman with severe back pain and left lower extremity weakness with spinal subarachnoid hemorrhage due to a ruptured T5 region posterior spinal artery pseudoaneurysm, and review issues related to radiologic diagnosis and endovascular and open neurosurgical interventions.

Keywords: Endovascular neurosurgery; Posterior spinal artery; Pseudoaneurysm; Spinal subarachnoid hemorrhage; Vascular neurosurgery.

Publication types

Case Reports

MeSH terms

Aged
Aneurysm, False* / complications
Aneurysm, False* / diagnosis
Aneurysm, False* / surgery
Aneurysm, Ruptured* / complications
Aneurysm, Ruptured* / diagnosis
Aneurysm, Ruptured* / surgery
Female
Humans
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Subarachnoid Hemorrhage / etiology
Vertebral Artery