title: Solitary ruptured aneurysm of the spinal artery of adamkiewicz with subarachnoid hemorrhage.
abstract: Spinal subarachnoid hemorrhage (SAH) due to solitary spinal aneurysm is extremely rare. A 45-year-old female patient visited the emergency department with severe headache and back pain. Imaging studies showed cerebral SAH in parietal lobe and spinal SAH in thoracolumbar level. Spinal angiography revealed a small pearl and string-like aneurysm of the Adamkiewicz artery at the T12 level. One month after onset, her back pain aggravated, and follow-up imaging study showed arachnoiditis. Two months after onset, her symptoms improved, and follow-up imaging study showed resolution of SAH. The present case of spinal SAH due to rupture of dissecting aneurysm of the Adamkiewicz artery underwent subsequent spontaneous resolution, indicating that the wait-and-see strategy may provide adequate treatment option.
authors.affiliation: Department of Neurosurgery, Gachon University, Gil Hospital, Incheon, Korea.
authors.forename: Seong
authors.initials: S
authors.lastname: Son
authors.forename: Sang-Gu
authors.initials: SG
authors.lastname: Lee
authors.forename: Cheol-Wan
authors.initials: CW
authors.lastname: Park
keywords: Aneurysm; Spine; Subarachnoid hemorrhage
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