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RT Journal Article
SR Electronic
T1 Solitary Spinal Artery Aneurysms as a Rare Source of Spinal Subarachnoid Hemorrhage: Potential Etiology and Treatment Strategy
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 405
OP 410
VO 26
IS 2
A1 Berlis, Ansgar
A1 Scheufler, Kai-Michael
A1 Schmahl, Christian
A1 Rauer, Sebastian
A1 Götz, Friedrich
A1 Schumacher, Martin
YR 2005
UL http://www.ajnr.org/content/26/2/405.abstract
AB Summary: Solitary aneurysms of spinal arteries lacking associated vascular malformations are rare. We report three patients with spinal subarachnoid hemorrhage (SAH) due to rupture of such aneurysms, which regressed spontaneously, as confirmed on conventional angiography. One patient had spinal SAH with presumed spontaneous dissection of a segmental artery. In the other two, SAH resulted from ruptured fusiform aneurysms of the artery of Adamkiewicz immediately proximal to the anterior spinal artery. Solitary aneurysms of the spinal arteries appear to be etiopathologic entities completely different from intracranial aneurysms. Spontaneous occlusion seems to be common, justifying a wait-and-see strategy rather than urgent treatment.