Iatrogenic lumbar pseudoaneurysm causing dural sac compression after spine surgery
Robbert J Nijenhuis1, Menno Sluzewski, Willem Jan van Rooij
1Department of Radiology, St. Elisabeth Ziekenhuis, Tilburg, The Netherlands. nijenhuis@rad.unimaas.nl
Journal of Neurosurgery. Spine
|June 30, 2009
Summary
Lumbar artery pseudoaneurysm after spine surgery caused neurological issues. Embolization successfully treated the condition, leading to symptom improvement.
Area of Science:
- Neurology
- Vascular Surgery
- Interventional Radiology
Background:
- Post-surgical lumbar artery pseudoaneurysms are rare but serious complications.
- Dural sac compression can lead to significant neurological deficits.
Observation:
- A 69-year-old male developed progressive paraparesis and autonomic dysfunction 3 months post-lumbar spine surgery.
- The patient's symptoms were attributed to a lumbar artery pseudoaneurysm impinging on the thecal sac.
Findings:
- Successful embolization of the lumbar artery pseudoaneurysm using glue was performed.
- Post-embolization, the pseudoaneurysm thrombosed and significantly reduced in size.
Implications:
- Endovascular embolization is an effective treatment for post-surgical lumbar artery pseudoaneurysms.
- Prompt treatment can lead to substantial recovery of neurological function and improved quality of life.
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