Subarachnoid Hemorrhage due to Ruptured Spinal Artery Aneurysm: A Diagnostic Challenge
Subarachnoid Hemorrhage due to Ruptured Spinal Artery Aneurysm: A Diagnostic Challenge
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DOI：
10.1159/000507953
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发表时间：
2020-01-01
影响因子：
0.7
通讯作者：
Thang Huy Nguyen
中科院分区：
文献类型：
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作者：
Ngoc Hoang Nguyen;Vien Chi Le;Thang Huy Nguyen
由于孤立性脊髓动脉瘤引起的蛛网膜下腔出血（SAH）是非常罕见的。脊髓SAH的早期诊断具有挑战性，特别是当脊髓未受压时。我们报告一个45岁男性的病例，他表现为突然发作的腹痛，随后是严重的头痛，呕吐和全身癫痫发作。入院三天后，他出现进行性麻痹。磁共振成像（MRI）显示脊髓SAH伴血肿导致脊髓受压在T9水平。诊断性脊髓血管造影发现了一根髓动脉破裂的动脉瘤。总之，在适当的临床环境下，脊髓动脉瘤破裂应被认为是SAH的可能原因，临床医生必须意识到脊髓受压的可能性。
Subarachnoid hemorrhage (SAH) due to a solitary spinal aneurysm is extremely rare. Early diagnosis of spinal SAH is challenging, particularly when the spinal cord has not been compressed. We report a case of a 45-year-old male who presented with sudden onset of abdominal pain, followed by severe headache, vomiting, and generalized seizure. Three days after admission to the hospital, he developed progressive paraparesis. Magnetic resonance imaging (MRI) revealed spinal SAH with hematoma resulting in cord compression at the level of T9. Diagnostic spinal angiography identified a ruptured aneurysm of a radiculomedullary artery. In conclusion, rupture of a spinal aneurysm should be considered a possible cause of SAH in appropriate clinical settings, and clinicians must be aware of the possibility of cord compression.