Ruptured aneurysms of the intradural artery of adamkiewicz: Angiographic features and treatment options

Cody A Doberstein; Andrew Bouley; Brian Silver; John F Morrison; Mahesh V Jayaraman

doi:10.1016/j.clineuro.2016.05.013

Ruptured aneurysms of the intradural artery of adamkiewicz: Angiographic features and treatment options

Clin Neurol Neurosurg. 2016 Jul:146:152-5. doi: 10.1016/j.clineuro.2016.05.013. Epub 2016 May 12.

Authors

Cody A Doberstein¹, Andrew Bouley¹, Brian Silver¹, John F Morrison¹, Mahesh V Jayaraman²

Affiliations

¹ Department of Neurosurgery, the Warren Alpert School of Medicine of Brown University, Providence, Rhode Island, USA.
² Department of Neurosurgery, the Warren Alpert School of Medicine of Brown University, Providence, Rhode Island, USA; Department of Diagnostic Radiology, the Warren Alpert School of Medicine of Brown University, Providence, Rhode Island, USA. Electronic address: mjayaraman@lifespan.org.

PMID: 27259283
DOI: 10.1016/j.clineuro.2016.05.013

Abstract

We present an unusual case of a 59year old male patient who presented with acute, bilateral lower extremity weakness and was found to have non-traumatic spinal subarachnoid hemorrhage. Diagnostic workup including MRI and angiography revealed an aneurysm of the artery of Ademkiewicz. This was managed conservatively and the patient has had marked clinical improvement. We present the details of this unusual case as well as a literature review related to aneurysms of the artery of Ademkiewicz.

Keywords: artery of adamkiewicz; spinal aneurysms; spinal subarachnoid hemorrhage.

Publication types

Case Reports

MeSH terms

Aneurysm, Ruptured / diagnostic imaging*
Aneurysm, Ruptured / etiology
Aneurysm, Ruptured / therapy
Dura Mater / blood supply*
Humans
Magnetic Resonance Imaging / methods*
Male
Middle Aged
Spinal Cord / blood supply*
Subarachnoid Hemorrhage / diagnostic imaging*
Subarachnoid Hemorrhage / therapy