Choi Il, Im Soo-Bin, Kim Bum-Tae, Shin Won-Han
Department of Neurosurgery, College of Medicine, Soonchunhyang University, Bucheon, Korea.
J Korean Neurosurg Soc. 2007 Dec;42(6):484-6. doi: 10.3340/jkns.2007.42.6.484. Epub 2007 Dec 20.
The authors describe a case of pseudoaneurysm arising from internal iliac artery presented with radiculopathy mimicking the symptoms of lumbar disc disease or spinal cord tumor. Among the several preoperative evaluation including CT, MRI, electrophysiologic study and ultrasonography, important diagnostic clue was obtained by ultrasonographic findings of turbulence flow at the core of partially enhanced mass in the pelvic cavity. The patient was managed with endovascular coil embolization successfully. The current case makes us remind that assessment of neurological symptoms on lower extremity should include consideration of extraspinal cause in pelvis.
作者描述了一例由髂内动脉引起的假性动脉瘤病例，该病例表现为神经根病，症状类似腰椎间盘疾病或脊髓肿瘤。在包括CT、MRI、电生理研究和超声检查在内的多项术前评估中，盆腔内部分强化肿块核心处的湍流超声表现提供了重要的诊断线索。该患者成功接受了血管内弹簧圈栓塞治疗。当前病例提醒我们，对下肢神经症状的评估应包括考虑骨盆内脊柱外的病因。
