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KMID : 1005420170190030217
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Journal of Cerebrovascular and Endovascular Neurosurgery
2017 Volume.19 No. 3 p.217 ~ p.222
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Surgical Removal of a Ruptured Radiculomedullary Artery Aneurysm: A Case Report
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Kim Seung-Bin
Ban Seung-Pil
Kim Hyun-Jib
Kwon O-Ki
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Abstract
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Subarachnoid hemorrhage due to a solitary spinal aneurysm is extremely rare, and diagnosis and treatment are challenging. We report a rare case of a ruptured radiculomedullary artery aneurysm in a patient with Behcet disease. A 49-year-old man presented with severe lower abdominal and leg pain. Magnetic resonance imaging was performed and an enhanced intradural-extramedullary lesion at the T12 spinal level with subarachnoid hemorrhage was identified. Diagnostic spinal angiography was performed to evaluate the vascular lesion, and a radiculomedullary artery aneurysm at the T12 level was identified. We performed surgical resection of the aneurysm and a good neurological outcome was obtained.
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KEYWORD
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Spinal aneurysm, Radiculomedullary artery, Subarachnoid hemorrhage
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