1. Spinal subarachnoid hemorrhage secondary to ruptured artery of Adamkiewicz aneurysm: Is conservative management the first best step?
- Author
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Kaustubh Limaye, Kathleen Dlouhy, and Sedat Kandemirli
- Subjects
medicine.medical_specialty ,Subarachnoid hemorrhage ,Conservative management ,Fusiform Aneurysm ,03 medical and health sciences ,0302 clinical medicine ,Aneurysm ,medicine.artery ,medicine ,cardiovascular diseases ,business.industry ,Subdural hemorrhage ,General Medicine ,medicine.disease ,Low back pain ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,cardiovascular system ,Surgery ,Neurology (clinical) ,Artery of Adamkiewicz ,Radiology ,medicine.symptom ,business ,030217 neurology & neurosurgery ,Artery - Abstract
A 43-year-old woman presented to the hospital with severe low back pain and paresthesias in the bilateral lower extremities. MRI of the spine revealed spinal subarachnoid and subdural hemorrhage extending from T11 to L5-S1. A diagnostic spinal angiogram demonstrated a dissecting, partially thrombosed aneurysm of the artery of Adamkiewicz.At four weeks from the sentinel event, her symptoms had completely resolved with resolution on imaging.Isolated artery of Adamkiewicz aneurysms, which are most often dissecting, fusiform aneurysms are extremely rare and management controversial.
- Published
- 2021
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