Yi-Chun Chiang1, Chung-Hsih Lee2, Wen-Hsien Chen3, Yuang-Seng Tsuei4. 1. Department of Surgery, Kaohsiung Armed Forces General Hospital, Taiwan, R.O.C; Department of Neurosurgery, Taichung Veterans General Hospital, Taiwan, R.O.C. 2. Department of Neurosurgery, Taichung Veterans General Hospital, Taiwan, R.O.C. 3. Department of Neuroradiology, Taichung Veterans General Hospital, Taiwan, R.O.C. 4. Department of Neurosurgery, Taichung Veterans General Hospital, Taiwan, R.O.C; Department of Neurosurgery, Triservice General Hospital, National Defense Medical Center, Taiwan, R.O.C. Electronic address: astrocytoma2001@yahoo.com.tw.
Abstract
BACKGROUND: Paraplegia after intracranial aneurysmal subarachnoid hemorrhage (SAH) is a rare condition, and its pathogenesis is still unclear. CASE DESCRIPTION: We present a case of a ruptured basilar dissecting aneurysm treated with the stent-assisted coiling procedure. Progressive weakness of the lower limbs developed within 5 days postoperatively. Spinal magnetic resonance image showed SAH accumulation in the lumbosacral area. Emergency lumbar drainage was performed, and the patient's symptoms improved dramatically. CONCLUSIONS: To the best of our knowledge, this is the first report to describe the successful treatment of paraplegia after intracranial aneurysmal SAH.
BACKGROUND:Paraplegia after intracranial aneurysmal subarachnoid hemorrhage (SAH) is a rare condition, and its pathogenesis is still unclear. CASE DESCRIPTION: We present a case of a ruptured basilar dissecting aneurysm treated with the stent-assisted coiling procedure. Progressive weakness of the lower limbs developed within 5 days postoperatively. Spinal magnetic resonance image showed SAH accumulation in the lumbosacral area. Emergency lumbar drainage was performed, and the patient's symptoms improved dramatically. CONCLUSIONS: To the best of our knowledge, this is the first report to describe the successful treatment of paraplegia after intracranial aneurysmalSAH.