Dissecting Aneurysm of the L1 Radiculomedullary Artery Associated with Subarachnoid Hemorrhage: A Case Report
- Resource Type
- Authors
- Francesco Zenga; Christian Cossandi; Diego Garbossa; Emanuela Crobeddu; Michele Lanotte; Giulia Pilloni
- Source
- Journal of Neurological Surgery Part A: Central European Neurosurgery. 83:099-103
- Subject
- medicine.medical_specialty
Weakness
Subarachnoid hemorrhage
Dissection (medical)
Aneurysm, Ruptured
Radiculomedullary artery
Aneurysm
Conservative treatment
Dissection aneurysm
medicine
Humans
business.industry
Intracranial Aneurysm
Arteries
Subarachnoid Hemorrhage
medicine.disease
Spinal Artery
Spine
Cerebral Angiography
Surgery
Conservative strategy
Aortic Dissection
medicine.anatomical_structure
Spinal angiography
Neurology (clinical)
medicine.symptom
business
Artery
- Language
- ISSN
- 2193-6323
2193-6315
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.