Takasaki K, Asakura T, Kadota K, Nakayama M, Komasaku R, Kasamo S
Department of Neurosurgery, Faculty of Medicine, Kagoshima University, Japan.
No Shinkei Geka. 1991 May;19(5):459-63.
The incidence of an aneurysm of the spinal artery is extremely rare. Only several cases have been documented previously. Herewith, the authors present a patient with a ruptured aneurysm of the anterior spinal artery associated with dural AVM of the posterior fossa. A 51-year-old male had a sudden onset of occipital headache and left shoulder pain. Lumbar puncture revealed bloody CSF. Angiography showed a saccular aneurysm, filling from the anterior spinal artery and dural AVM of the posterior fossa. Aneurysmal neck clipping and cauterization for nidus of dural AVM was performed successfully through suboccipital craniectomy with laminectomy of C1 and C2. The authors reviewed the literature and discussed the features of the aneurysm of a spinal artery.
脊髓动脉动脉瘤的发病率极为罕见。此前仅有几例病例有文献记载。在此，作者报告一例患有脊髓前动脉破裂动脉瘤并伴有后颅窝硬脑膜动静脉畸形的患者。一名51岁男性突然出现枕部头痛和左肩疼痛。腰椎穿刺显示脑脊液呈血性。血管造影显示一个囊状动脉瘤，由脊髓前动脉供血，并伴有后颅窝硬脑膜动静脉畸形。通过枕下颅骨切除术及C1和C2椎板切除术，成功地对动脉瘤颈进行了夹闭，并对硬脑膜动静脉畸形的病灶进行了烧灼。作者回顾了文献并讨论了脊髓动脉动脉瘤的特征。
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