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Spinal artery aneurysms: medical presentation, radiological findings and final result.
J Neurointerv Surg. 2018 Jan 30;:
Authors: Renieri L, Raz E, Lanzino G, Krings T, Shapiro M, Shirani P, Brinjikji W
Summary
BACKGROUND AND PURPOSE: Spinal arterial aneurysms are a uncommon reason for spinal subarachnoid hemorrhage (SAH). We carried out a retrospective evaluate of spinal arterial aneurysms not related to spinal arteriovenus shunts from three establishments in an effort to higher perceive the medical and imaging traits of those lesions.
MATERIALS AND METHODS: We carried out a retrospective evaluate of spinal arterial aneurysms managed at three North American establishments. For every affected person, the next info was collected: demographic information, medical presentation, comorbidities, imaging findings, and neurological standing on the final follow-up. Therapy methods and outcomes had been reported.
RESULTS: 11 sufferers had been included; 7 had been ladies and median age was 60 years. The commonest presentation was sudden again ache (81.eight%). We discovered three aneurysms on the radiculomedullary artery and eight alongside the radiculopial arteries. Of the three aneurysms on the radiculomedullary artery, 1 was handled conservatively, 1 was handled with coiling of the aneurysm and sacrifice of the radiculomedullary artery, and 1 was handled with surgical trapping. The eight aneurysms on the radiculopial artery had been handled endovascularly in four circumstances, surgically in 1 case, and conservatively in three circumstances. One surgically handled affected person had a spinal subdural hematoma. There have been no different problems. Imply medical follow-up time was 20 months, and 87.5% of sufferers had been functionally unbiased.
CONCLUSIONS: Spinal arterial aneurysms are lesions which generally current with sudden again ache and spinal SAH. Conservative, surgical, and endovascular remedy choices are protected and efficient. Long run outcomes in these sufferers are typically good.
PMID: 29382773 [PubMed – as supplied by publisher]