Spinal artery aneurysms: medical presentation, radiological findings and end result.
J Neurointerv Surg. 2018 Jan 30;:
Authors: Renieri L, Raz E, Lanzino G, Krings T, Shapiro M, Shirani P, Brinjikji W
BACKGROUND AND PURPOSE: Spinal arterial aneurysms are a uncommon explanation for spinal subarachnoid hemorrhage (SAH). We carried out a retrospective overview of spinal arterial aneurysms not related to spinal arteriovenus shunts from three establishments as a way to higher perceive the medical and imaging traits of those lesions.
MATERIALS AND METHODS: We carried out a retrospective overview of spinal arterial aneurysms managed at three North American establishments. For every affected person, the next info was collected: demographic knowledge, medical presentation, comorbidities, imaging findings, and neurological standing on the final follow-up. Remedy methods and outcomes have been reported.
RESULTS: 11 sufferers have been included; 7 have been girls 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 have been handled endovascularly in four instances, surgically in 1 case, and conservatively in three instances. One surgically handled affected person had a spinal subdural hematoma. There have been no different issues. Imply medical follow-up time was 20 months, and 87.5% of sufferers have been functionally impartial.
CONCLUSIONS: Spinal arterial aneurysms are lesions which generally current with sudden again ache and spinal SAH. Conservative, surgical, and endovascular therapy choices are protected and efficient. Long run outcomes in these sufferers are usually good.
PMID: 29382773 [PubMed – as supplied by publisher]