Paraplegia due to a ruptured aneurysm of the distal posterior inferior cerebellar artery.
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.
Kashiwagi
S
S
Department of Neurosurgery, Yamaguchi University, School of Medicine, Japan.
Tsuchida
E
E
Shiroyama
Y
Y
Ito
H
H
Yamashita
T
T
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