title: Acute Paraplegia After Aneurysmal SAH: A Case Report of a Rare Complication and Review of the Literature.
abstract: BACKGROUND
  Paraplegia after intracranial aneurysmal subarachnoid hemorrhage (SAH) is a rare condition, and its pathogenesis is still unclear.
  
  
  METHODS
  We present a case of a ruptured basilar dissecting aneurysm treated with the stent-assisted coiling procedure. Progressive weakness of the lower limbs developed within 5 days postoperatively. Spinal magnetic resonance image showed SAH accumulation in the lumbosacral area. Emergency lumbar drainage was performed, and the patient's symptoms improved dramatically.
  
  
  CONCLUSIONS
  To the best of our knowledge, this is the first report to describe the successful treatment of paraplegia after intracranial aneurysmal SAH.
authors.affiliation: Department of Surgery, Kaohsiung Armed Forces General Hospital, Taiwan, R.O.C; Department of Neurosurgery, Taichung Veterans General Hospital, Taiwan, R.O.C.
authors.forename: Yi-Chun
authors.initials: YC
authors.lastname: Chiang
authors.affiliation: Department of Neurosurgery, Taichung Veterans General Hospital, Taiwan, R.O.C.
authors.forename: Chung-Hsih
authors.initials: CH
authors.lastname: Lee
authors.affiliation: Department of Neuroradiology, Taichung Veterans General Hospital, Taiwan, R.O.C.
authors.forename: Wen-Hsien
authors.initials: WH
authors.lastname: Chen
authors.affiliation: Department of Neurosurgery, Taichung Veterans General Hospital, Taiwan, R.O.C; Department of Neurosurgery, Triservice General Hospital, National Defense Medical Center, Taiwan, R.O.C. Electronic address: astrocytoma2001@yahoo.com.tw.
authors.forename: Yuang-Seng
authors.initials: YS
authors.lastname: Tsuei
mesh_terms: D000208:Acute Disease; D000328:Adult; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D010264:Paraplegia / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control*; D035583:Rare Diseases / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome
keywords: Paraplegia; Ruptured aneurysm; Subarachnoid hemorrhage