Dissecting aneurysm of the posterior spinal artery: case report and review of the literature.

Abstract:

BACKGROUND AND IMPORTANCE:Because of their rarity, the pathogenesis and clinical features of isolated spinal artery aneurysms are still unclear, and their diagnoses and treatments are challenging. We report a case of an isolated posterior spinal artery aneurysm and review previous reports thoroughly to identify the general features of isolated spinal aneurysms. CLINICAL PRESENTATION:A 52-year-old man presented with abdominal pain followed by back pain and radiculopathy from subarachnoid hemorrhage in the spinal canal. The spinal angiogram demonstrated the presence of a dissecting aneurysm of the posterior spinal artery. He was treated by endovascular occlusion of the origin of the radiculopial artery and recovered completely. CONCLUSION:Isolated spinal artery aneurysms are very rare lesions; however, they should be considered in patients with intracranial or spinal subarachnoid hemorrhage without evidence of arteriovenous malformations. Spinal aneurysms have different etiologies compared with intracranial aneurysms. Cervical aneurysms have worse outcomes than thoracolumbar aneurysms. The etiology and location of the lesion and distal flow to the lesion should be taken into consideration when planning the treatment.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Kim HJ,Choi IS

doi

10.1227/NEU.0b013e31825ea539

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

E749-56; discussion E756

issue

3

eissn

0148-396X

issn

1524-4040

journal_volume

71

pub_type

杂志文章,评审
  • Intraventricular thrombolysis speeds blood clot resolution: results of a pilot, prospective, randomized, double-blind, controlled trial.

    abstract:OBJECTIVE:Animal models and clinical studies suggest that intraventricular thrombolysis improves clot resolution and clinical outcomes among patients with intraventricular hemorrhage. However, this intervention may increase the rates of rebleeding and infection. To assess the safety and efficacy of intraventricular thr...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1227/01.neu.0000108422.10842.60

    authors: Naff NJ,Hanley DF,Keyl PM,Tuhrim S,Kraut M,Bederson J,Bullock R,Mayer SA,Schmutzhard E

    更新日期:2004-03-01 00:00:00

  • Mechanisms of whole blood-induced cerebral arterial contraction.

    abstract::Using rabbit cerebral arteries in an in vitro chamber, we examined the cerebral arterial contraction initiated by clotting whole blood. By using methysergide maleate and a novel thromboxane synthetase inhibitor, 1-carboxyheptylimidazole (1-CHI), we studied the contributions of both serotonin and the prostaglandin meta...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Schumacher MA,Alksne JF

    更新日期:1981-09-01 00:00:00

  • A percutaneous epidural screw electrode for intracranial electroencephalogram recordings.

    abstract::A new epidural electrode for monitoring brain electrical activity is described. The electrode is a tapered screw that is easily inserted percutaneously and removed without general anesthesia. The epidural screw has been used without complications for ictal and interictal electroencephalogram recordings in four patient...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199308000-00026

    authors: Ross DA,Henry TR,Dickinson LD

    更新日期:1993-08-01 00:00:00

  • Neurofibromatosis and optic glioma: clinical and morphological correlations.

    abstract::Although an association between optic glioma and neurofibromatosis is well recognized, there has been no previous analysis of cases relating the locus of tumor to the presence or absence of von Recklinghausen's disease. This paper presents the results of such an analysis as well as a description of the comparative his...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-197906000-00006

    authors: Stern J,DiGiacinto GV,Housepian EM

    更新日期:1979-06-01 00:00:00

  • Multiphoton excitation of autofluorescence for microscopy of glioma tissue.

    abstract:OBJECTIVE:Intraoperative detection of residual tumor tissue in glioma surgery remains an important challenge because the extent of tumor removal is related to the prognosis of the disease. Multiphoton excited fluorescence tomography of living tissues provides high-resolution structural and photochemical imaging at a su...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000204885.45644.22

    authors: Leppert J,Krajewski J,Kantelhardt SR,Schlaffer S,Petkus N,Reusche E,Hüttmann G,Giese A

    更新日期:2006-04-01 00:00:00

  • Preliminary personal experiences with the application of near-infrared indocyanine green videoangiography in extracranial vertebral artery surgery.

    abstract:INTRODUCTION:We evaluated the feasibility, usefulness, and limitations of near-infrared indocyanine green (ICG) videoangiography during procedures involving the extracranial vertebral artery (VA). METHODS:Nine patients (2 women, 7 men; mean age, 55 years) were evaluated at 2 neurosurgical centers. Near-infrared ICG vi...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/01.NEU.0000363596.52283.65

    authors: Bruneau M,Sauvageau E,Nakaji P,Vandesteene A,Lubicz B,Chang SW,Balériaux D,Brotchi J,De Witte O,Spetzler RF

    更新日期:2010-02-01 00:00:00

  • The arteries of the corpus callosum: a microsurgical anatomic study.

    abstract:OBJECTIVE:The corpus callosum is the major commissural pathway connecting the hemispheres of the human brain. It is particularly important, because various tumors and vascular lesions can be located in and around the corpus callosum, and it is a route through which pass several surgical approaches. Performing accurate ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199612000-00001

    authors: Türe U,Yaşargil MG,Krisht AF

    更新日期:1996-12-01 00:00:00

  • Surgery on anterior foramen magnum meningiomas using a conventional posterior suboccipital approach: a report on an experience with 17 cases.

    abstract:OBJECTIVE:The advantages of a posterior "conventional" suboccipital approach with a midline incision over lateral, anterolateral, and anterior approaches to anteriorly placed foramen magnum meningiomas are discussed. METHODS:From 1991 to March 2000, 17 patients with foramen magnum meningiomas arising from the anterior...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-200107000-00016

    authors: Goel A,Desai K,Muzumdar D

    更新日期:2001-07-01 00:00:00

  • Long-term impact of cognitive deficits and epilepsy on quality of life in patients with low-grade meningiomas.

    abstract:BACKGROUND:WHO Grade I meningiomas are common, usually benign, primary brain tumors. Little is known about the health-related quality of life (HRQOL) of patients with meningiomas. OBJECTIVE:To investigate the long-term HRQOL in patients with meningiomas and its association with cognitive deficits and epilepsy. METHOD...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318212badb

    authors: Waagemans ML,van Nieuwenhuizen D,Dijkstra M,Wumkes M,Dirven CM,Leenstra S,Reijneveld JC,Klein M,Stalpers LJ

    更新日期:2011-07-01 00:00:00

  • Transoral repair of a rare basioccipital meningocele in a neonate: case report.

    abstract::An extremely rare case of a basioccipital meningocele causing obstruction of the upper airway in a neonate is described. A transoral approach was used to remove the meningocele and repair the dural fistula. Bilateral posterior lateral pharyngeal releasing incisions were made to allow mucosal and muscle coverage over t...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-198909000-00027

    authors: Azizkhan RG,Cuenca RE,Powers SK

    更新日期:1989-09-01 00:00:00

  • Pseudotumor syndrome resulting from a cerebral arteriovenous malformation: case report.

    abstract::We report a case of a cerebral arteriovenous malformation presenting as a pseudotumor cerebri syndrome. The lack of mass effect, hemorrhage, or hydrocephalus, in addition to angiographic evidence of high-flow and venous outflow restriction, implicate increased cerebral blood flow and venous hypertension as the mechani...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/00006123-199503000-00020

    authors: David CA,Peerless SJ

    更新日期:1995-03-01 00:00:00

  • Diagnostic intracranial pressure monitoring and surgical management in idiopathic normal pressure hydrocephalus: a 6-year review of 214 patients.

    abstract:OBJECTIVE:To review our experience of managing idiopathic normal pressure hydrocephalus (iNPH) during the 6-year period from 2002 to 2007, when intracranial pressure (ICP) monitoring was part of the diagnostic workup. METHODS:The review includes all iNPH patients undergoing diagnostic ICP monitoring during the years 2...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.NEU.0000363408.69856.B8

    authors: Eide PK,Sorteberg W

    更新日期:2010-01-01 00:00:00

  • Extraskeletal myxoid chondrosarcoma of the falx.

    abstract::Intracranial cartilaginous tumors are unusual lesions, of which myxoid chondrosarcoma is the rarest. We describe this tumor arising from the falx in a 28-year-old woman treated at recurrence with a second operation and a radiation implant. The behavior of classic chondrosarcoma and mesenchymal chondrosarcoma is also r...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199208000-00021

    authors: Salcman M,Scholtz H,Kristt D,Numaguchi Y

    更新日期:1992-08-01 00:00:00

  • Wingspan in-stent restenosis and thrombosis: incidence, clinical presentation, and management.

    abstract:OBJECTIVE:Wingspan (Boston Scientific, Fremont, CA) is a self-expanding stent designed specifically for the treatment of symptomatic intracranial atheromatous disease. The current series reports the observed incidence of in-stent restenosis (ISR) and thrombosis on angiographic follow-up. METHODS:A prospective, intent-...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/01.NEU.0000290914.24976.83

    authors: Levy EI,Turk AS,Albuquerque FC,Niemann DB,Aagaard-Kienitz B,Pride L,Purdy P,Welch B,Woo H,Rasmussen PA,Hopkins LN,Masaryk TJ,McDougall CG,Fiorella DJ

    更新日期:2007-09-01 00:00:00

  • Flow Diversion for Treatment of Intracranial Aneurysms in Pediatric Patients: Multicenter Case Series.

    abstract:BACKGROUND:Though the Pipeline Embolization Device (Medtronic) is approved for use in adults 22 yr and older, the high efficacy and long-term durability of the device is attractive for treatment of intracranial aneurysms in younger patients who often have aneurysms less amenable to traditional endovascular treatments. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1093/neuros/nyz380

    authors: Cherian J,Srinivasan V,Froehler MT,Grossberg JA,Cawley CM,Hanel RA,Puri A,Dumont T,Ducruet AF,Albuquerque F,Arthur A,Cheema A,Spiotta A,Anadani M,Lopes D,Saied A,Kim L,Kelly CM,Chen PR,Mocco J,De Leacy R,Powers

    更新日期:2020-07-01 00:00:00

  • Clinical and radiological aspects of dysplastic gangliocytoma (Lhermitte-Duclos disease): a report of two cases with review of the literature.

    abstract::Two cases of Lhermitte-Duclos disease confirmed by biopsy are reported. Review of the 58 published cases shows that the disease can manifest itself only by signs of increased intracranial pressure. Cerebellar symptoms are not constant. Computed tomographic (CT) scans suggest the diagnosis by showing a posterior fossa ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/00006123-198801010-00020

    authors: Milbouw G,Born JD,Martin D,Collignon J,Hans P,Reznik M,Bonnal J

    更新日期:1988-01-01 00:00:00

  • Impaired immunocompetence in patients with malignant gliomas: the possible role of Tg-lymphocyte subpopulations.

    abstract::T-lymphocyte subpopulations (Tg or "suppressor cells" and Tm or "helper cells") in the peripheral blood of 16 patients with malignant intracranial gliomas were analyzed. The number of Tm-lymphocytes was very close to normal in both pre- and postoperative samples, whereas Tg-lymphocytes were significantly increased pre...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198205000-00004

    authors: Gerosa MA,Olivi A,Rosenblum ML,Semenzato GP,Pezzutto A

    更新日期:1982-05-01 00:00:00

  • Flash fluorescence with indocyanine green videoangiography to identify the recipient artery for bypass with distal middle cerebral artery aneurysms: operative technique.

    abstract:BACKGROUND:Distal middle cerebral artery (MCA) aneurysms frequently have nonsaccular morphology that necessitates trapping and bypass. Bypasses can be difficult because efferent arteries lie deep in the opercular cleft and may not be easily identifiable. OBJECTIVE:We introduce the "flash fluorescence" technique, which...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/NEU.0b013e31823158f3

    authors: Rodríguez-Hernández A,Lawton MT

    更新日期:2012-06-01 00:00:00

  • Organization of head injury service in Beijing.

    abstract::Beijing, the capital of the People's Republic of China, is a city with a population of over 10 million. The incidence of head injuries is increasing yearly and the government pays much attention to this social and medical problem. This is evidenced in both county and big city hospitals by the organization of neurosurg...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198208000-00023

    authors: Cheng M

    更新日期:1982-08-01 00:00:00

  • Pressure-mounted cottonoids: technical note.

    abstract::A newly designed cottonoid is fixed to the tip of the suction device by the negative pressure. It is especially useful during microsurgical procedures in areas crowded with neurovascular elements. The advantage of pressure-mounted cottonoids lies in the protection provided to the brain and neurovascular elements durin...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-198212000-00010

    authors: Arbit E

    更新日期:1982-12-01 00:00:00

  • Surgical resection of intrinsic brain stem lesions: an overview.

    abstract::A major limitation to the effective treatment of intrinsic mass lesions of the brain stem has been the inability to clearly define the pathological anatomy radiographically. The improved soft tissue resolution offered by magnetic resonance imaging, as compared with axial computed tomography, now makes it possible not ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199011000-00018

    authors: Heffez DS,Zinreich SJ,Long DM

    更新日期:1990-11-01 00:00:00

  • Normal and abnormal calcium homeostasis in neurons: a basis for the pathophysiology of traumatic and ischemic central nervous system injury.

    abstract::Clinical recovery after central nervous system (CNS) trauma or ischemia may be limited by a neural injury process that is triggered and perpetuated at the cellular level, rather than by a lesion amenable to surgical repair. It is widely thought that one such process, a fundamental pathological mechanism initiated by C...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-199606000-00028

    authors: Tymianski M,Tator CH

    更新日期:1996-06-01 00:00:00

  • Paraplegia after tethered cord surgery: an uncommon combined anomaly of spinal arteriovenous fistula and sacral lipoma--case report.

    abstract:OBJECTIVE AND IMPORTANCE:The coexistence of spinal arteriovenous malformation (AVM) with congenital abnormalities is relatively common. However, the association of a spinal AVM and lipoma is rare. We present an adult patient with this combined anomaly and discuss the clinical relevance of this case. CLINICAL PRESENTAT...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000171028.96829.69

    authors: Cheung AC,Kalkanis SN,Ogilvy CS

    更新日期:2005-09-01 00:00:00

  • Civilian craniocerebral gunshot wounds.

    abstract::Experience with 120 patients who incurred a gunshot wound to the head with dural penetration is presented. All of the patients were managed by a standard resuscitation protocol and assigned a clinical grade based on their level of consciousness both at the time of presentation and at 2 to 4 months after injury. Fifty ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199107000-00011

    authors: Benzel EC,Day WT,Kesterson L,Willis BK,Kessler CW,Modling D,Hadden TA

    更新日期:1991-07-01 00:00:00

  • A pineal region germ cell tumor with rapid enlargement after a long-term follow-up: case report.

    abstract:BACKGROUND AND IMPORTANCE:The natural history of pineal region germ cell tumors (GCTs) is not well known. We report a rare case of a pineal region GCT showing rapid enlargement within 2 months, after 7 years with no growth. CLINICAL PRESENTATION:A boy presented with gonadotropin-independent precocious puberty at 6 yea...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318284708a

    authors: Jinguji S,Fukuda M,Nagasaki K,Fujii Y

    更新日期:2013-04-01 00:00:00

  • Psychosocial functioning at 1 month after head injury.

    abstract::The authors examined the psychosocial sequelae of head trauma at 1 month after injury in a group of 102 adult head-injured patients representing a broad range of severity of trauma. One hundred two control subjects selected from friends of the head-injured patients were used for comparison purposes. Outcome was determ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198404000-00001

    authors: McLean A Jr,Dikmen S,Temkin N,Wyler AR,Gale JL

    更新日期:1984-04-01 00:00:00

  • Catastrophic subarachnoid hemorrhage resulting from ruptured vertebrobasilar dolichoectasia: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Two patients with vertebrobasilar dolichoectasia sustained massive fatal subarachnoid hemorrhage from rupture of the basilar artery wall. Hemorrhage from this entity is not widely known to occur during its natural history and may be exacerbated by systemic anticoagulation. CLINICAL PRESENTATIO...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199802000-00108

    authors: Rabb CH,Barnwell SL

    更新日期:1998-02-01 00:00:00

  • Quinacrine enhances carmustine therapy of experimental rat glioma.

    abstract:OBJECTIVE:The high rate of mutagenesis in malignant cells has been considered to be a primary factor in the appearance of chemotherapy-resistant cell clones in glioblastomas. Quinacrine binds strongly to deoxyribonucleic acid, preventing mutagenesis. We investigated whether quinacrine could improve carmustine therapy i...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200110000-00033

    authors: Reyes S,Herrera LA,Ostrosky P,Sotelo J

    更新日期:2001-10-01 00:00:00

  • Intra-arterial Cereport (RMP-7) and carboplatin: a dose escalation study for recurrent malignant gliomas.

    abstract:OBJECTIVE:Animal and human studies have shown increased delivery of radiolabeled compounds across the blood-brain-tumor barrier using intra-arterial (IA) Cereport (RMP-7; Alkermes Inc., Cambridge, MA) with a radiolabeled tracer. This present study assesses the safety, tolerance, and preliminary efficacy of the IA admin...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199902000-00015

    authors: Cloughesy TF,Black KL,Gobin YP,Farahani K,Nelson G,Villablanca P,Kabbinavar F,Viñeula F,Wortel CH

    更新日期:1999-02-01 00:00:00

  • Quantitative, morphological, and somatotopic nuclear changes after facial nerve regeneration in adult rats: a possible challenge to the "no new neurons" dogma.

    abstract::The anatomic reorganization of the subnucleus that controls the stylohyoid muscle (the stylohyoid subnucleus) within the brain stem facial nucleus was studied after regeneration of the facial nerve in adult rats. Horseradish peroxidase was injected into the right stylohyoid muscle 3 to 21 months after transection and ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Fernandez E,Pallini R,Marchese E,Lauretti L,La Marca F

    更新日期:1995-09-01 00:00:00