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Updated: Jul 3, 2026

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Published on: August 1, 2025
Ruptured anterior spinal artery aneurysm: a case report
Jeffrey M Pollock1, Alexander K Powers, E Andrew Stevens
1Department of Radiology, Wake Forest University School of Medicine, Winston-Salem, NC, USA. effmpollock@gmail.com
Summary
This report details a rare case of subarachnoid hemorrhage and vasospasm caused by a ruptured anterior spinal artery aneurysm. This specific association with Chiari 1 malformation has not been previously documented in medical literature.
Area of Science:
- Neurology
- Neurosurgery
- Vascular Neurology
Background:
- Spinal artery aneurysms are rare vascular malformations.
- Chiari 1 malformation is a structural defect in the cerebellum.
Observation:
- A patient presented with subarachnoid hemorrhage and vasospasm.
- The cause was identified as a ruptured anterior spinal artery aneurysm.
Findings:
- This is the first reported case of a spinal artery aneurysm associated with Chiari 1 malformation.
- The rupture led to significant neurological compromise.
Implications:
- This case highlights a potential, previously unrecognized, association between Chiari 1 malformation and spinal artery aneurysms.
- Further research is warranted to understand the underlying pathophysiology and incidence of this association.
- Clinical awareness may improve diagnosis and management of similar rare cases.
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