Aneurysm of the intradural artery of Adamkiewicz treated with muslin wrapping: technical case report.
OBJECTIVE
An exceedingly rare, isolated spinal arterial aneurysm and its management are presented.


METHODS
A 30-year-old man who presented with severe lower back pain and headache underwent a computed tomographic study of his head that disclosed nothing abnormal and a lumbar puncture that revealed bloody, xanthochromic cerebrospinal fluid. The findings from cerebral angiography were normal, and the results from spinal angiography were consistent with a diagnosis of an aneurysm of the artery of Adamkiewicz.


METHODS
A transthoracic approach with a partial T11 vertebrectomy gained exposure to this anteriorly located lesion. A fusiform aneurysm of the intradural portion of the artery of Adamkiewicz was discovered. Excision of the aneurysm with a vascular bypass was deemed impossible. The lesion was treated with muslin wrapping. One year after surgery, the patient remains at his baseline neurological condition.


CONCLUSIONS
A review of the literature revealed only one other reported case of a ruptured aneurysm of the artery of Adamkiewicz, which was discovered postmortem. Therefore, this case represents the first report of a diagnosed and treated artery of Adamkiewicz aneurysm.
Vishteh
A G
AG
Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
Brown
A P
AP
Spetzler
R F
RF
D000328:Adult; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D000792:Angiography; D001158:Arteries / Q000473:pathology / Q000601:surgery; D004388:Dura Mater / Q000098:blood supply*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D013116:Spinal Cord / Q000098:blood supply*; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed