Aneurysm of the Intradural Artery of Adamkiewicz Treated with Muslin Wrapping: Technical Case Report
1997; Lippincott Williams & Wilkins; Volume: 40; Issue: 1 Linguagem: Inglês
10.1097/00006123-199701000-00047
ISSN1524-4040
AutoresA. Giancarlo Vishteh, Adam P. Brown, Robert F. Spetzler,
Tópico(s)Aortic Disease and Treatment Approaches
ResumoOBJECTIVE AND IMPORTANCE: An exceedingly rare, isolated spinal arterial aneurysm and its management are presented. CLINICAL PRESENTATION: A 30-year-old man who presented with severe lower back pain and headache underwent a computed tomographic study of his head that disclosed nothing abnormal and a lumbar puncture that revealed bloody, xanthochromic cerebrospinal fluid. The findings from cerebral angiography were normal, and the results from spinal angiography were consistent with a diagnosis of an aneurysm of the artery of Adamkiewicz. INTERVENTION: A transthoracic approach with a partial T11 vertebrectomy gained exposure to this anteriorly located lesion. A fusiform aneurysm of the intradural portion of the artery of Adamkiewicz was discovered. Excision of the aneurysm with a vascular bypass was deemed impossible. The lesion was treated with muslin wrapping. One year after surgery, the patient remains at his baseline neurological condition. CONCLUSION: A review of the literature revealed only one other reported case of a ruptured aneurysm of the artery of Adamkiewicz, which was discovered postmortem. Therefore, this case represents the first report of a diagnosed and treated artery of Adamkiewicz aneurysm.
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