L1 脊神经根髓动脉夹层动脉瘤并蛛网膜下腔出血 1 例报告
Dissecting Aneurysm of the L1 Radiculomedullary Artery Associated with Subarachnoid Hemorrhage: A Case Report.
机构信息
Department of Neuroscience/Neurosurgery, University of Turin, Novara, Italy.
Department of Neurosurgery, Hospital Santa Corona Pietra Ligure, Pietra Ligure, Italy.
出版信息
J Neurol Surg A Cent Eur Neurosurg. 2022 Jan;83(1):99-103. doi: 10.1055/s-0040-1720997. Epub 2021 Feb 4.
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.
背景
脊髓动脉动脉瘤和脊髓蛛网膜下腔出血都是非常罕见的情况。
方法
我们报告了一例右侧 L1 神经根髓动脉破裂性夹层动脉瘤合并蛛网膜下腔出血和严重运动无力的病例。
结果
由于运动功能恶化，紧急进行了减压半椎板切除术。随后的脊髓血管造影显示右侧 L1 神经根髓动脉夹层，给予保守治疗。
结论
目前，这种动脉瘤的治疗策略仍存在争议。保守策略可能是一种有效的替代方法。
Zotero 插件