Aneurysm of the intradural artery of Adamkiewicz treated with muslin wrapping: technical case report

Neurosurgery
A G VishtehR F Spetzler

Abstract

An exceedingly rare, isolated spinal arterial aneurysm and its management are presented. 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. 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. 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.

References

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Citations

Mar 8, 2005·Journal of Neurology·Raymond C S SeetErle C H Lim
Dec 3, 2010·Neurologia Medico-chirurgica·Jun KarakamaKikuo Ohno
Sep 21, 2006·AJR. American Journal of Roentgenology·Daniel T BollBernd L Schmitz
Nov 3, 2004·Surgical Neurology·Nilton Eduardo GuerreiroLuciano Neder
Jun 25, 2005·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Yusuf Sukru CaglarTanzer Sancak
Dec 17, 2014·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Diego Gutierrez RomeroAlain Weill
Sep 18, 2013·Journal of Korean Neurosurgical Society·Seong SonCheol-Wan Park
Jun 5, 2016·Clinical Neurology and Neurosurgery·Cody A DobersteinMahesh V Jayaraman
Nov 27, 2002·Journal of Neurosurgery·Robert F SpetzlerRandall W Porter
Apr 30, 2013·Journal of Neurosurgery. Spine·Venkatesh S MadhugiriAnil Nanda
Jun 5, 2007·Journal of Neurosurgery. Spine·Pascale LavoieAlain Weill
Jun 4, 2008·Journal of Neurosurgery. Spine·Pierluigi LongattiFrancesco Di Paola
Sep 29, 2011·Neurologia Medico-chirurgica·Satoshi IihoshiIzumi Koyanagi
Sep 21, 2021·Neurosurgical Review·Safwan AlomariAli Bydon

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