Hino H, Maruyama H, Inomata H
Rinsho Shinkeigaku. 1989 Aug;29(8):1009-12.
We report a case of spinal artery aneurysm, secondary to the coarctation of aorta, who presented with initial signs of transverse myelopathy. A 45-year-old woman was admitted to the hospital because of quadriplegia. She had a history of subarachnoid hemorrhage traced to unknown origin. Physical examination revealed hypertension of upper limbs, but any artery of the lower limbs was not palpable. On neurological examination, she was alert, quadriplegic, and anesthetic below C4 level. Neck was stiff and meningeal signs were presented. The liquor was bloody. Myelography demonstrated complete block at C5-6. The right retrograde brachial angiography showed an aneurysm of cervical spinal artery. Digital subtraction angiography demonstrated a coarctation of the aorta. Coarctation of the aorta was considered to have caused spinal artery aneurysm, and is the first reported case in Japan.
我们报告一例继发于主动脉缩窄的脊髓动脉瘤病例，该患者最初表现为横贯性脊髓病症状。一名45岁女性因四肢瘫痪入院。她有不明原因的蛛网膜下腔出血病史。体格检查发现上肢高血压，但下肢动脉无法触及。神经学检查显示，她神志清醒，四肢瘫痪，C4水平以下感觉缺失。颈部僵硬，有脑膜刺激征。脑脊液呈血性。脊髓造影显示C5 - 6水平完全梗阻。右侧逆行肱动脉造影显示颈脊髓动脉动脉瘤。数字减影血管造影显示主动脉缩窄。主动脉缩窄被认为是导致脊髓动脉瘤的原因，这是日本首例报告病例。
