Spinal Subarachnoid Hemorrhage Caused by a Mycotic Aneurysm of the Radiculomedullary Artery: A Case Report and Review of Literature
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- Nakamura Homare
- Department of Neurologic Surgery, Dokkyo University Hospital
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- Kim Phyo
- Department of Neurologic Surgery, Dokkyo University Hospital
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- Kanaya Hideaki
- Department of Neurologic Surgery, Dokkyo University Hospital
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- Kurokawa Ryu
- Department of Neurologic Surgery, Dokkyo University Hospital
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- Murata Hidetoshi
- Department of Neurologic Surgery, Dokkyo University Hospital
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- Matsuda Hadzki
- Department of Pathology, Dokkyo University Hospital
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We report a case of spinal subarachnoid hemorrhage (SAH) caused by rupture of a mycotic anerurysm. A 59-year-old woman was admitted to our hospital with a sudden onset of headache and tetraparesis. Computed tomography (CT) scan of the brain revealed SAH, and magnetic resonance imaging (MRI) of the cervical spine showed an acute intradural hematoma. On angiogram, a saccular aneurysm was found on the C5 radiculomedullary artery, which arose from the left ascending cervical artery. Subsequently, her consciousness status deteriorated due to rebleeding, and she was brought to surgery. An aneurysm was found at the cephalad aspect of the left C5 root. On histological examination, it showed typical characteristics of mycotic aneurysms. Spinal mycotic aneurysm is a very rare entity with scant description in the literature. It can be extremely brittle and therefore warrants expeditious surgical treatment. When encountering spinal origin of subarachnoid hemorrhage, it should be included in the differential diagnosis.
収録刊行物
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- NMC Case Report Journal
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NMC Case Report Journal 2 (2), 49-52, 2015
一般社団法人 日本脳神経外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001205741949056
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- NII論文ID
- 130005064615
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- ISSN
- 21884226
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可