Acute Paraplegia After Aneurysmal SAH: A Case Report of a Rare Complication and Review of the Literature

作者：Chiang Yi Chun; Lee Chung Hsih; Chen Wen Hsien; Tsuei Yuang Seng^*

来源：World Neurosurgery, 2016, 88: 695.e11.

DOI：10.1016/j.wneu.2015.12.070

• Paraplegia
• Ruptured aneurysm
• Subarachnoid hemorrhage

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.

• 出版日期2016-4