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A case of ruptured aneurysm associated with spinal arteriovenous malformation presenting with hematomyelia: case report.
Surg Neurol. 2002 Jun; 57(6):438-42; discussion 442.SN

Abstract

BACKGROUND

Spinal cord arteriovenous malformation (AVM) associated with spinal aneurysm is not particularly rare, but cases presenting with hematomyelia are relatively rare compared to those with subarachnoid hemorrhage (SAH). We report a rare case of successfully treated spinal AVM associated with ruptured aneurysm presenting with hematomyelia.

CASE DESCRIPTION

A 52-year-old male was admitted to our hospital with sudden onset of tetraplegia, respiratory disturbance, and superficial sensory disturbance. Computed tomography revealed hematomyelia at the level of C3-4. Gadolinium-enhanced magnetic resonance imaging showed small, enhanced lesions. Angiography revealed an intradural perimedullary arteriovenous malformation associated with two aneurysms on the feeding arteries. Administration of high-dose methylprednisolone gradually ameliorated his symptoms. Direct surgical obliteration was performed on the 30th day after the onset. The bilateral C3 cervical radicular arteries and the nidus were coagulated. Angiography performed after surgery showed neither the aneurysms nor the nidus. He was discharged with only mild weakness in the left upper extremity and mild left hypesthesia 3 months after surgery, and was fully independent.

CONCLUSION

We report a case of hematomyelia caused by ruptured aneurysm associated with spinal arteriovenous malformation that was successfully treated with surgical obliteration.

Authors+Show Affiliations

Department of Neurosurgery, Institute of Neurological Sciences, Faculty of Medicine, Tottori University, Yonago, Japan.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

12176214

Citation

Sakamoto, Makoto, et al. "A Case of Ruptured Aneurysm Associated With Spinal Arteriovenous Malformation Presenting With Hematomyelia: Case Report." Surgical Neurology, vol. 57, no. 6, 2002, pp. 438-42; discussion 442.
Sakamoto M, Watanabe T, Okamoto H. A case of ruptured aneurysm associated with spinal arteriovenous malformation presenting with hematomyelia: case report. Surg Neurol. 2002;57(6):438-42; discussion 442.
Sakamoto, M., Watanabe, T., & Okamoto, H. (2002). A case of ruptured aneurysm associated with spinal arteriovenous malformation presenting with hematomyelia: case report. Surgical Neurology, 57(6), 438-42; discussion 442.
Sakamoto M, Watanabe T, Okamoto H. A Case of Ruptured Aneurysm Associated With Spinal Arteriovenous Malformation Presenting With Hematomyelia: Case Report. Surg Neurol. 2002;57(6):438-42; discussion 442. PubMed PMID: 12176214.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A case of ruptured aneurysm associated with spinal arteriovenous malformation presenting with hematomyelia: case report. AU - Sakamoto,Makoto, AU - Watanabe,Takashi, AU - Okamoto,Hisayo, PY - 2002/8/15/pubmed PY - 2002/9/6/medline PY - 2002/8/15/entrez SP - 438-42; discussion 442 JF - Surgical neurology JO - Surg Neurol VL - 57 IS - 6 N2 - BACKGROUND: Spinal cord arteriovenous malformation (AVM) associated with spinal aneurysm is not particularly rare, but cases presenting with hematomyelia are relatively rare compared to those with subarachnoid hemorrhage (SAH). We report a rare case of successfully treated spinal AVM associated with ruptured aneurysm presenting with hematomyelia. CASE DESCRIPTION: A 52-year-old male was admitted to our hospital with sudden onset of tetraplegia, respiratory disturbance, and superficial sensory disturbance. Computed tomography revealed hematomyelia at the level of C3-4. Gadolinium-enhanced magnetic resonance imaging showed small, enhanced lesions. Angiography revealed an intradural perimedullary arteriovenous malformation associated with two aneurysms on the feeding arteries. Administration of high-dose methylprednisolone gradually ameliorated his symptoms. Direct surgical obliteration was performed on the 30th day after the onset. The bilateral C3 cervical radicular arteries and the nidus were coagulated. Angiography performed after surgery showed neither the aneurysms nor the nidus. He was discharged with only mild weakness in the left upper extremity and mild left hypesthesia 3 months after surgery, and was fully independent. CONCLUSION: We report a case of hematomyelia caused by ruptured aneurysm associated with spinal arteriovenous malformation that was successfully treated with surgical obliteration. SN - 0090-3019 UR - https://www.unboundmedicine.com/medline/citation/12176214/A_case_of_ruptured_aneurysm_associated_with_spinal_arteriovenous_malformation_presenting_with_hematomyelia:_case_report_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090301902007280 DB - PRIME DP - Unbound Medicine ER -