title: Ruptured anterior spinal artery aneurysm from a herniated cervical disc. A case report and review of the literature.
abstract: BACKGROUND
  Subarachnoid hemorrhage (SAH) caused by a ruptured cervical anterior spinal artery aneurysm is extremely rare and in the setting of cervical spondylosis. This case presentation reviews the diagnosis, management, and treatment of such aneurysms.
  
  
  METHODS
  An 88-year-old female presented with the worst headache of her life without focal deficits. She was found to have diffuse SAH in the basal cisterns extending inferiorly down the spinal canal. Review of the neurodiagnostic images revealed an anterior spinal artery aneurysm in the setting of cervical spondylosis.
  
  
  CONCLUSIONS
  Clinicians should be suspicious of cervical spondylosis as a rare etiology for an SAH when cerebral angiograms prove negative for intracranial aneurysms.
authors: Department of Neurosurgery, Albert Einstein College of Medicine of Yeshiva University, Montefiore Medical Center, Bronx, NY 10467, USA.
authors: Jonathan
authors: J
authors: Nakhla
authors: Department of Neurosurgery, Albert Einstein College of Medicine of Yeshiva University, Montefiore Medical Center, Bronx, NY 10467, USA.
authors: Rani
authors: R
authors: Nasser
authors: Department of Neurosurgery, Albert Einstein College of Medicine of Yeshiva University, Montefiore Medical Center, Bronx, NY 10467, USA.
authors: Reza
authors: R
authors: Yassari
authors: Department of Neuroradiology, Albert Einstein College of Medicine of Yeshiva University, Montefiore Medical Center, Bronx, NY 10467, USA.
authors: David
authors: D
authors: Pasquale
authors: Department of Neurosurgery, Albert Einstein College of Medicine of Yeshiva University, Montefiore Medical Center, Bronx, NY 10467, USA.
authors: David
authors: D
authors: Altschul
keywords: Aneurysm; cervical; spine; subarachnoid hemorrhage; trauma