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. 2022 Apr;45(2):989-1008.
doi: 10.1007/s10143-021-01645-8. Epub 2021 Sep 20.

Isolated aneurysms of the spinal circulation: a systematic review of the literature

Safwan Alomari #  1 , Risheng Xu #  1 , Judy Huang  1 , Rafael Tamargo  1 , Ali Bydon  2
Affiliations

Isolated aneurysms of the spinal circulation: a systematic review of the literature

Safwan Alomari et al. Neurosurg Rev. 2022 Apr.

Abstract

Aneurysms arising in the spinal circulation are rare and underreported. The objective of this study was to systematically review the English literature on different aspects of isolated spinal aneurysms using the PubMed, Ovid MEDLINE, and Google Scholar databases. Eighty-two papers reporting 107 individual patient cases were included. Most isolated spinal aneurysms have a fusiform morphology, and are most commonly found in the anterior spinal artery at the thoracic or cervical levels. Subarachnoid hemorrhage is the most common form of presentation, and sudden onset back pain is the most common initial symptom. The diagnosis of spinal aneurysms requires a high degree of clinical suspicion. Because of their small size, they can be missed on CT/MR angiography and spinal angiogram may be employed. Treatment of spinal aneurysms should be individualized on a case-by-case basis. Conservative management can be a valid option in spinal aneurysms where the risk of treatment is high. Surgical or endovascular intervention may be indicated in cases of significant or progressive neurologic decline due aneurysmal mass effect, or progressive growth of the aneurysm despite conservative treatment.

Keywords: Aneurysms; Spinal circulation; Systematic review of the literature.

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References

    1. Abdalkader M, Samuelsen BT, Moore JM, Cervantes-Arslanian A, Ong CJ, Setty BN, Mian AZ, Nguyen TN (2020) Ruptured spinal aneurysms: diagnosis and management paradigms. World Neurosurgery. https://doi.org/10.1016/j.wneu.2020.10.098 - DOI - PubMed
    1. Aguilar-Salinas P, Lima J, Brasiliense LBC, Hanel RA, Sauvageau E (2018) Republished: Ruptured aneurysm of the artery of Adamkiewicz: is conservative management the standard of treatment in the current era? Journal of NeuroInterventional Surgery 10:e22–e22. https://doi.org/10.1136/neurintsurg-2017-013194.rep - DOI - PubMed
    1. Alberstone CD, Rupp FW, Anson JA (2000) Spinal aneurysm of the lateral sacral artery. J Neurosurg Spine 92:101. https://doi.org/10.3171/spi.2000.92.1.0101 - DOI
    1. Aoun SG, El Ahmadieh TY, Soltanolkotabi M, Ansari SA, Marden FA, Batjer HH, Bendok BR (2014) Ruptured spinal artery aneurysm associated with coarctation of the aorta. World Neurosurg 81:441.e417–422. https://doi.org/10.1016/j.wneu.2012.07.027 - DOI
    1. Bergeron D, Nehme A, Berthelet F, Farzin B, Obaid S, Westwick H, Létourneau L, Chaalala C, Bojanowski MW (2021) Repeated retching and vomiting in the pathophysiology of isolated spinal aneurysms. World neurosurgery 149:e512–e520. https://doi.org/10.1016/j.wneu.2021.01.143 - DOI - PubMed

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