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

Emanuela Crobeddu; Giulia Pilloni; Francesco Zenga; Christian Cossandi; Diego Garbossa; Michele Lanotte

doi:10.1055/s-0040-1720997

Journal of Neurological Surgery Part A: Central European Neurosurgery, Table of Contents

J Neurol Surg A Cent Eur Neurosurg 2022; 83(01): 099-103
DOI: 10.1055/s-0040-1720997

Case Report

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

Emanuela Crobeddu

¹Department of Neuroscience/Neurosurgery, University of Turin, Novara, Italy

,

Giulia Pilloni

²Department of Neurosurgery, Hospital Santa Corona Pietra Ligure, Pietra Ligure, Italy

,

Francesco Zenga

³Department of Neurosurgery, University of Turin, Turin, Italy

,

Christian Cossandi

⁴Department of Neurosurgery, AOU Maggiore della Carità, Novara, Italy

,

Diego Garbossa

⁵Department of Neuroscience/Neurosurgery, University of Turin, Torino, Piemonte, Italy

,

Michele Lanotte

⁵Department of Neuroscience/Neurosurgery, University of Turin, Torino, Piemonte, Italy

› Author Affiliations

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.

Keywords

subarachnoid hemorrhage - dissection aneurysm - radiculomedullary artery - conservative treatment

Full Text

References

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