Pseudoaneurysm of the thoracic radiculomedullary artery with subarachnoid hemorrhage. Case report.
The authors report a rare case of a patient with a left-sided T-5 radiculomedullary artery pseudoaneurysm who presented with spinal subarachnoid hemorrhage (SAH). The patient, a 71-year-old woman, was hospitalized for progressive paraplegia and sensory loss with bladder and rectal dysfunction. Computerized tomography scanning revealed an SAH at the posterior fossa. Spinal T2-weighted magnetic resonance imaging demonstrated SAH and an inhomogeneous and slightly low signal intensity mass at T4-5. Spinal angiography revealed a tiny masslike staining without arteriovenous shunting. The resected specimen, which caused the spinal SAH, was diagnosed as a pseudoaneurysm based on operative and pathological findings.
Yahiro
Tatsumi
T
Department of Neurosurgery, Fukuoka University School of Medicine, Fukuoka, Japan.
Hirakawa
Katsuyuki
K
Iwaasa
Mitsutoshi
M
Tsugu
Hitoshi
H
Fukushima
Takeo
T
Utsunomiya
Hidetsuna
H
D000368:Aged; D017541:Aneurysm, False / Q000150:complications* / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D000792:Angiography; D003388:Cranial Fossa, Posterior; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008526:Medulla Oblongata / Q000098:blood supply*; D013126:Spinal Nerve Roots / Q000098:blood supply*; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D013895:Thoracic Arteries / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed