title: Paraplegia due to a ruptured aneurysm of the distal posterior inferior cerebellar artery.
abstract: A case of paraplegia was due to a ruptured aneurysm of the distal posterior inferior cerebellar artery. The paraplegia was caused by a unilateral lesion located between the cervicomedullary junction and the C2 level, where it involved both crossed and uncrossed pyramidal fibres projecting to the lower extremities. Since a vascular lesion near the cervicomedullary junction is likely to be missed, special attention should be paid to this region when investigating subarachnoid haemorrhage with paraplegia.
authors.affiliation: Department of Neurosurgery, Yamaguchi University, School of Medicine, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Kashiwagi
authors.forename: E
authors.initials: E
authors.lastname: Tsuchida
authors.forename: Y
authors.initials: Y
authors.lastname: Shiroyama
authors.forename: H
authors.initials: H
authors.lastname: Ito
authors.forename: T
authors.initials: T
authors.lastname: Yamashita
mesh_terms: D001158:Arteries / Q000601:surgery; D002531:Cerebellum / Q000098:blood supply*; D002533:Cerebral Angiography; D003399:Craniotomy; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000601:surgery; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010264:Paraplegia / Q000209:etiology* / Q000601:surgery; D012422:Rupture, Spontaneous; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000601:surgery