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CC BY-NC-ND 4.0 · J Neurol Surg Rep 2022; 83(02): e67-e71
DOI: 10.1055/s-0042-1751040
Original Article

Endoscopic Endonasal Transodontoid Treatment of a Ruptured Anterior Spinal Artery Aneurysm

Edwin S. Kulubya
1   Department of Neurological Surgery, University of California Davis, Sacramento, California, United States
,
Tejas Karnati
1   Department of Neurological Surgery, University of California Davis, Sacramento, California, United States
,
Bart Thaci
1   Department of Neurological Surgery, University of California Davis, Sacramento, California, United States
,
David Cua
2   Department of Otolaryngology, The Kaiser Permanente Medical Group, Sacramento, California, United States
,
Huy Duong
3   Department of Neurological Surgery, The Kaiser Permanente Medical Group, Sacramento, California, United States
› Author Affiliations Funding None.
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Abstract

Isolated spinal artery aneurysms are a rare cause of intracranial subarachnoid hemorrhage (SAH). A 49-year-old female presented with severe headache. Initial imaging showed SAH and intraventricular hemorrhage (IVH), but no clear source of bleeding was identified. One week into being observed in the intensive care unit, she reported another severe headache. Computed tomography head showed more SAH and IVH. A second angiogram revealed a ruptured small anterior spinal artery (ASA) aneurysm at the craniocervical junction. She underwent a C1–2 fusion followed by an endoscopic endonasal transodontoid approach and wrapping of the ASA aneurysm. At 2 years' follow-up, there was no sign of aneurysm growth or rerupture. This is the first reported case of an endoscopic endonasal transodontoid approach to an aneurysm.

Keywords

anterior spinal artery aneurysm - endoscopic endonasal transodontoid


Publication History

Received: 26 February 2021

Accepted: 19 October 2021

Article published online:
29 June 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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