Chiang Yi-Chun, Lee Chung-Hsih, Chen Wen-Hsien, Tsuei Yuang-Seng
Department of Surgery, Kaohsiung Armed Forces General Hospital, Taiwan, R.O.C; Department of Neurosurgery, Taichung Veterans General Hospital, Taiwan, R.O.C.
Department of Neurosurgery, Taichung Veterans General Hospital, Taiwan, R.O.C.
World Neurosurg. 2016 Apr;88:695.e11-695.e14. doi: 10.1016/j.wneu.2015.12.070. Epub 2015 Dec 31.
Paraplegia after intracranial aneurysmal subarachnoid hemorrhage (SAH) is a rare condition, and its pathogenesis is still unclear.
We present a case of a ruptured basilar dissecting aneurysm treated with the stent-assisted coiling procedure. Progressive weakness of the lower limbs developed within 5 days postoperatively. Spinal magnetic resonance image showed SAH accumulation in the lumbosacral area. Emergency lumbar drainage was performed, and the patient's symptoms improved dramatically.
To the best of our knowledge, this is the first report to describe the successful treatment of paraplegia after intracranial aneurysmal SAH.
颅内动脉瘤性蛛网膜下腔出血（SAH）后截瘫是一种罕见情况，其发病机制仍不清楚。
我们报告一例采用支架辅助弹簧圈栓塞术治疗的基底动脉夹层动脉瘤破裂病例。术后5天内出现下肢进行性无力。脊髓磁共振成像显示腰骶部区域有SAH积聚。进行了紧急腰椎引流，患者症状显著改善。
据我们所知，这是第一例描述成功治疗颅内动脉瘤性SAH后截瘫的报告。
