PT  - JOURNAL ARTICLE
AU  - Davide Boeris
AU  - Alex Mortimer
AU  - Mathuri Sakthithasan
AU  - Alexander Ian Evins
AU  - David Sandeman
AU  - Shelly Renowden
TI  - Republished: Conservative management of a post-traumatic pseudoaneurysm of the artery of cervical enlargement–anterior spinal artery junction
AID  - 10.1136/neurintsurg-2015-011662.rep
DP  - 2016 Apr 01
TA  - Journal of NeuroInterventional Surgery
PG  - e14--e14
VI  - 8
IP  - 4
4099  - http://jnis.bmj.com/content/8/4/e14.short
4100  - http://jnis.bmj.com/content/8/4/e14.full
SO  - J NeuroIntervent Surg2016 Apr 01; 8
AB  - A 22-year-old man suffered severe sudden onset head and neck pain after being pushed from behind during an assault. Physical examination was normal. Cervical MRI demonstrated an intradural hematoma, anterior to the cord, between C2–4. Subsequent contrast enhanced MR angiography and digital subtraction vertebral angiography confirmed that the cause of the hemorrhage was a fusiform (presumed dissecting) pseudoaneurysm of the artery of the cervical enlargement at its junction with the anterior spinal artery. The aneurysm was managed conservatively. Follow-up angiography demonstrated that the aneurysm had spontaneously thrombosed within 10 days and remained occluded at 2 months. The patient remained occluded at 6 months following the initial injury. Anterior spinal aneurysms represent a management dilemma and options are discussed.