title: Surgical management of cervical radiculomedullary arterial aneurysm with subarachnoid haemorrhage: a case report.
abstract: The aim of this paper was to report an unusual case of a 30-year-old woman admitted to the emergency department for a subarachnoid spinal haemorrhage. Clinical presentation was typical and the initial CT-scan did not show any intracranial lesions. Diagnosis was then confirmed by a full-spinal MRI that revealed a cervical radiculomedullary artery aneurysm. The diagnosis was also confirmed by an arteriography that showed a left C6 radiculomedullary artery aneurysm. Surgical management was performed and included a direct approach of the vascular lesion using an anterolateral cervicotomy and occlusion of the parent vessel. Histological examination confirmed the typical aspect of the aneurysm. The postoperative course was uneventful and the patient was discharged from hospital at day 15. This type of vascular lesion is very uncommon and requires a prompt diagnosis. Initial MRI can confirm the presence of a subarachnoid haemorrhage related to the aneurysm, which can be also visualized by an arteriography. Management of these vascular disorders requires a multidisciplinary specialized spine-team and is commonly performed using a direct surgical approach.
authors.affiliation: Service de neurochirurgie, hôpital de la Timone, 264, rue Saint-Pierre, 13005 Marseille, France.
authors.forename: J
authors.initials: J
authors.lastname: Fondop
authors.affiliation: Service de neurochirurgie, hôpital de la Timone, 264, rue Saint-Pierre, 13005 Marseille, France.
authors.forename: B
authors.initials: B
authors.lastname: Blondel
authors.affiliation: Service de neurochirurgie, hôpital de la Timone, 264, rue Saint-Pierre, 13005 Marseille, France.
authors.forename: P
authors.initials: P
authors.lastname: Rakotozanany
authors.affiliation: Service de neurochirurgie, hôpital de la Timone, 264, rue Saint-Pierre, 13005 Marseille, France.
authors.forename: T
authors.initials: T
authors.lastname: Adetchessi
authors.affiliation: Service de neurochirurgie, hôpital de la Timone, 264, rue Saint-Pierre, 13005 Marseille, France.
authors.forename: P
authors.initials: P
authors.lastname: Metellus
authors.affiliation: Service de neurochirurgie, hôpital de la Timone, 264, rue Saint-Pierre, 13005 Marseille, France. Electronic address: sfuentes@ap-hm.fr.
authors.forename: S
authors.initials: S
authors.lastname: Fuentes
mesh_terms: D000328:Adult; D002533:Cerebral Angiography / Q000379:methods; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000601:surgery*; D008279:Magnetic Resonance Imaging / Q000379:methods; D013116:Spinal Cord / Q000473:pathology / Q000601:surgery*; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods
keywords: Aneurysm; Anévrysme; Cervical spine; Hémorragie sous-arachnoïdienne; Rachis cervical; Spinal cord; Subarachnoid haemorrhage