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Erschienen in: Neurocritical Care 2/2015

01.04.2015 | Practical Pearl

A Cause of Atypical Intracranial Subarachnoid Hemorrhage: Posterior Spinal Artery Aneurysms

verfasst von: Gabriele Ronchetti, Saul F. Morales-Valero, Giuseppe Lanzino, John T. Wald

Erschienen in: Neurocritical Care | Ausgabe 2/2015

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Abstract

Background

Approximately 1 % of cases of intracranial subarachnoid hemorrhage (SAH) are caused by spinal vascular pathologies. Among them, isolated spinal artery aneurysms are uncommon and a limited number of cases have been reported in the literature.

Methods

This is a report of two cases and review of the literature.

Results

Both patients presented with an atypical intracranial SAH and were also found to have spinal SAH caused by a ruptured posterior spinal aneurysm.

Conclusion

Isolated spinal artery aneurysms represent a rare cause of intracranial SAH. Symptoms such as back pain and lower-extremity weakness can be clues to the adequate diagnosis. Surgical or endovascular treatment should be pursued in all patients, as the risk of rebleeding is non-negligible.
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Metadaten
Titel
A Cause of Atypical Intracranial Subarachnoid Hemorrhage: Posterior Spinal Artery Aneurysms
verfasst von
Gabriele Ronchetti
Saul F. Morales-Valero
Giuseppe Lanzino
John T. Wald
Publikationsdatum
01.04.2015
Verlag
Springer US
Erschienen in
Neurocritical Care / Ausgabe 2/2015
Print ISSN: 1541-6933
Elektronische ISSN: 1556-0961
DOI
https://doi.org/10.1007/s12028-014-0009-5

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