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Case Reports
. 2013 Mar;15(1):26-9.
doi: 10.7461/jcen.2013.15.1.26. Epub 2013 Mar 31.

A ruptured aneurysm in the branch of the anterior spinal artery

Tae Ki Yang  1
Affiliations
Case Reports

A ruptured aneurysm in the branch of the anterior spinal artery

Tae Ki Yang. J Cerebrovasc Endovasc Neurosurg. 2013 Mar.

Abstract

Incidence of aneurysm of the anterior spinal artery is known to be very low and the standard treatment strategy has not yet been established. The author experienced a case of subarachnoid hemorrhage (SAH) caused by the rupture of an aneurysm in the branch of the cervical anterior spinal artery, which was managed conservatively. The patient had end-stage common bile duct cancer and survived for 103 days after onset of the SAH without a re-rupture of the aneurysm.

Keywords: Aneurysm; Anterior spinal artery; Subarachnoid hemorrhage.

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Figures

Fig. 1
Fig. 1
Brain computerized tomography shows more subarachnoid hemorrhage in the cisterns around the pons and medulla (A) than in the basal and interhemispheric cisterns (B).
Fig. 2
Fig. 2
(A): An angiogram of the right internal carotid artery shows an anterior communicating artery aneurysm (arrow). (B): An angiogram of the right vertebral artery shows an aneurysm (arrow) at the branch of the anterior spinal artery (arrowheads)
Fig. 3
Fig. 3
(A): Follow-up angiography of the right vertebral artery on the sixth hospital day shows the same aneurysm with a small filling defect (arrow). (B): The last follow-up angiography of the right vertebral artery on the 23rd hospital day shows the persistence of the aneurysm (arrow).
See this image and copyright information in PMC

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