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Management Considerations in Ruptured Isolated Radiculopial Artery Aneurysms A Report of Two Cases and Literature Review

By P. A. Brouwer and P. W. A. Willems


Little is known on the natural history of rup-tured isolated aneurysms of the posterior spinal artery (PSA). To date, only a few of such cases have been described in the literature. This paper aims to assess the most appropriate manage-ment strategy, based on the available literature and two new cases. In one of these, treatment was postponed until day 33, when angiography showed slight growth of the aneurysm. In the other, conservative treatment, requested by the patient, was successful. From these data, we con-clude that treatment strategies for ruptured PSA aneurysms may vary. Aside from the recommen-dation by others to perform prompt surgical treatment, we suggest an alternative clinical par-adigm allowing for the evaluation of the early clinical course. This may preclude the unneces-sary treatment of spontaneously regressing le-sions and still allows for appropriate treatment for persistent lesions

Topics: Key words, spinal aneurysm, treatment Summary
Year: 2016
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