Solitary spinal artery aneurysms as a rare source of spinal subarachnoid hemorrhage: potential etiology and treatment strategy.
Solitary aneurysms of spinal arteries lacking associated vascular malformations are rare. We report three patients with spinal subarachnoid hemorrhage (SAH) due to rupture of such aneurysms, which regressed spontaneously, as confirmed on conventional angiography. One patient had spinal SAH with presumed spontaneous dissection of a segmental artery. In the other two, SAH resulted from ruptured fusiform aneurysms of the artery of Adamkiewicz immediately proximal to the anterior spinal artery. Solitary aneurysms of the spinal arteries appear to be etiopathologic entities completely different from intracranial aneurysms. Spontaneous occlusion seems to be common, justifying a wait-and-see strategy rather than urgent treatment.
Berlis
Ansgar
A
Department of Neuroradiology, University of Freiburg, Breisacherstrasse 64, D-79106 Freiburg, Germany.
Scheufler
Kai-Michael
KM
Schmahl
Christian
C
Rauer
Sebastian
S
Götz
Friedrich
F
Schumacher
Martin
M
D000368:Aged; D000783:Aneurysm / Q000150:complications*; D005260:Female; D006470:Hemorrhage / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D013122:Spinal Diseases / Q000209:etiology* / Q000628:therapy; D013131:Spine / Q000098:blood supply*