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Segmental artery pseudoaneurysm associated with thoracic spinal fracture
Cengiz Cokluk1, Keramettin Aydin
1Ondokuzmayis University, Neurosurgery, Samsun, Turkey. cengizcokluk@yahoo.com
Turkish Neurosurgery
|October 16, 2007
Summary
A rare spinal trauma complication, segmental artery pseudoaneurysm, occurred in a thoracic spine fracture case. This case highlights the importance of prompt diagnosis and multidisciplinary management for such injuries.
Area of Science:
- Spinal Trauma
- Vascular Complications
- Radiology
Background:
- Segmental artery pseudoaneurysm is a rare but serious complication following spinal trauma.
- Thoracic spine fractures, particularly burst fractures, can lead to vascular injury.
Observation:
- A 72-year-old male sustained a thoracic spine fracture (T10 anterior displacement, T11 burst fracture) after a car accident.
- Neurological examination revealed complete motor and sensory deficit below T10.
- Imaging (X-ray, CT, MRI, DSA) confirmed a pseudoaneurysm in the left aortic region.
Findings:
- The thoracic spine fracture was the cause of the segmental artery pseudoaneurysm.
- Surgical decompression and stabilization of the thoracic vertebrae were successfully performed.
Implications:
- This case underscores the need for comprehensive vascular assessment in patients with spinal trauma.
- Multidisciplinary collaboration between neurosurgery, cardiovascular surgery, and endovascular radiology is crucial for optimal patient outcomes.
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