Neurol Case Rep | Volume 7, Issue 1 | Case Report | Open Access
Pirahanchi Y*, Frei D, Brizuela RR, Dao A, Atchie B and Kaminsky I
UCSD Medical Center Hillcrest, USA
*Correspondance to: Pirahanchi Y
Fulltext PDFT his case report discusses a 74-year-old female with a history of chronic well controlled hypertension on lisinopril who was admitted for acute colitis and subsequently developed acute spinal subdural hematoma. The patient presented with severe midline back pain, lower extremity weakness, and sensory disturbances, all sudden onset within 2 h prior to arrival to the hospital, which were unusual compared to her previous back pain experiences. An MRI revealed diffuse spinal canal hemorrhage causing cauda equina compression, and a spinal angiogram identified Posterior Spinal Artery (PSA) pseudoaneurysms. Remarkably, a follow-up angiogram five days later showed spontaneous resolution of these pseudoaneurysms, indicating self-occlusion or tissue remodeling. This case underscores the significance of considering non-traumatic causes in acute neurological deficits and the role of advanced imaging in diagnosis and management. The prevalence of pseudoaneurysm development is 0.5% to 6%. Conservative management, including close monitoring, blood pressure control, and neurological assessment in the hospital, without invasive measures or surgery was effective in this case. The spontaneous resolution observed suggests potential self-healing mechanisms, warranting further investigation into the pathophysiology and optimal treatment strategies for spinal subdural hematomas associated with PSA pseudoaneurysms.
Pirahanchi Y, Frei D, Brizuela RR, Dao A, Atchie B, Kaminsky I. A Case of Posterior Spinal Artery Pseudoaneurysm Resolution with Conservative Management. Neurol Case Rep. 2024; 7(1): 1048..