Rupture of the retrocorporeal artery: a rare cause of spontaneous spinal epidural haematoma.
A 22-year-old man presented with a sudden backache and paraplegia (ASIA = B). Magnetic resonance imaging showed an anterior pan-spinal epidural haematoma. Digital subtraction angiography was performed and ruled out an underlying vascular malformation but showed an active contrast media leakage into the T-4 ventral epidural space with a pattern of pseudo-aneurysm. A rupture of a T-4 retrocorporeal artery was considered as the aetiology, possibly caused by a haemorrhagic sub-adventitial dissection. Treatment consisted in the embolisation of both the pseudo-aneurysm and the parent artery with liquid acrylic glue, followed by neurosurgical decompression in emergency. The patient had totally recovered (ASIA = E) by the 10-month clinical follow-up.
Department of Interventional Neuroradiology, Pitié-Salpêtrière Hospital, 47, Boulevard de l'Hôpital, 75013, Paris, France.
Alexis
A
Guédon
Department of Interventional Neuroradiology, Pitié-Salpêtrière Hospital, 47, Boulevard de l'Hôpital, 75013, Paris, France.|Paris VI University, Pierre et Marie Curie, Paris, France.
Frédéric
F
Clarençon
Paris VI University, Pierre et Marie Curie, Paris, France.|Department of Diagnostic Neuroradiology, Pitié-Salpêtrière Hospital, Paris, France.
Bruno
B
Law-Ye
Department of Interventional Neuroradiology, Pitié-Salpêtrière Hospital, 47, Boulevard de l'Hôpital, 75013, Paris, France.
Nader
N
Sourour
Department of Interventional Neuroradiology, Pitié-Salpêtrière Hospital, 47, Boulevard de l'Hôpital, 75013, Paris, France.|Paris VI University, Pierre et Marie Curie, Paris, France.
Joseph
J
Gabrieli
Department of Neuro-anesthesiology, Pitié-Salpêtrière Hospital, Paris, France.
Patricia
P
Rojas
Department of Interventional Neuroradiology, Pitié-Salpêtrière Hospital, 47, Boulevard de l'Hôpital, 75013, Paris, France.|Paris VI University, Pierre et Marie Curie, Paris, France.
Jacques
J
Chiras
Paris VI University, Pierre et Marie Curie, Paris, France.|Department of Neurosurgery, Pitié-Salpêtrière Hospital, Paris, France.
Matthieu
M
Peyre
Department of Interventional Neuroradiology, Pitié-Salpêtrière Hospital, 47, Boulevard de l'Hôpital, 75013, Paris, France. federico.dimaria@gmail.com.
Federico
F
Di Maria
D000328:Adult; D001416:Back Pain / Q000209:etiology; D004621:Embolization, Therapeutic; D046748:Hematoma, Epidural, Spinal / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008297:Male; D010264:Paraplegia / Q000209:etiology; D012422:Rupture, Spontaneous / Q000150:complications / Q000175:diagnosis / Q000628:therapy*
Embolisation; Glue; Retrocorporeal anastomotic network; Spontaneous spinal epidural haematoma (SSEH)