Dissecting Aneurysm of the L1 Radiculomedullary Artery Associated with Subarachnoid Hemorrhage: A Case Report

J Neurol Surg A Cent Eur Neurosurg. 2022 Jan;83(1):99-103. doi: 10.1055/s-0040-1720997. Epub 2021 Feb 4.

Abstract

Background: Both spinal artery aneurysm and spinal subarachnoid hemorrhage represent a very rare event.

Methods: We report a case of a ruptured dissecting aneurysm of the right L1 radiculomedullary artery associated with subarachnoid hemorrhage and severe motor weakness.

Results: An urgent decompressive hemilaminectomy was performed due to worsening in motor deficit. A subsequent spinal angiography showed a dissection of radiculomedullary artery of L1 on the right side, treated conservatively.

Conclusion: Nowadays, therapeutic strategies for this aneurysm remain controversial. Conservative strategy can represent a valid alternative.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, Ruptured* / complications
  • Aneurysm, Ruptured* / diagnostic imaging
  • Aneurysm, Ruptured* / surgery
  • Aortic Dissection* / complications
  • Aortic Dissection* / diagnostic imaging
  • Aortic Dissection* / surgery
  • Arteries
  • Cerebral Angiography
  • Humans
  • Intracranial Aneurysm* / complications
  • Intracranial Aneurysm* / diagnostic imaging
  • Intracranial Aneurysm* / surgery
  • Spine
  • Subarachnoid Hemorrhage* / diagnostic imaging
  • Subarachnoid Hemorrhage* / etiology
  • Subarachnoid Hemorrhage* / surgery