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Cervical spinal cord infarction after endovascular embolization of vertebral artery aneurysm: A case report
Seong Son1, Chan Jong Yoo1, Myung Jin Kim1, Dae Han Choi1
1Department of Neurosurgery, Gachon University Gil Medical Center , Incheon, Korea
2Gachon University Gil Medical Center , Incheon, Korea
Correspondence :  Seong Son ,Tel: 0324603304, Fax: 0324603899, Email: sonseong@gilhospital.com
Received: April 18, 2018  Revised: April 18, 2018   Accepted: April 18, 2018
We present a case of high cervical spinal cord ischemia/infarction after endovascular coil embolization of the left vertebral artery aneurysm. A 51-year-old female patient visited the outpatient department with nuchal pain and headache. Imaging studies showed unruptured saccular-form aneurysm of left distal vertebral artery. We performed endovascular stent-assisted coil embolization for aneurysm. Six days after procedure, she complained dysesthesia and pain on right arm without cranial nerve manifestation. Findings on cervical magnetic resonance imaging revealed spinal cord infarction of left anterior portion at C2 level. Spinal cord infarction as a complication of intracranial neuroendovascular intervention is extremely rare, however, it should be considered if the patient shows specific neurologic symptoms.
KeyWords: spinal cord ischemia; infarction; vertebral artery; aneurysm; therapeutic embolization
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