A ruptured dissecting aneurysm of the anterior radiculomedullary artery caused by hypoplastic vertebral artery angiography: case report

Wenwen Chen, Xiu Shen, Yindan Yao · 2025

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Description

Wenwen Chen, Xiu Shen, and Yindan Yao published this case report in 2025. A seventy-year-old woman came to hospital with episodes of weakness in her left arm and leg. Scans showed severe narrowing of a major brain artery, and she started two blood-thinning drugs. On day three, doctors performed an angiogram, injecting dye into her neck arteries. One artery was unusually small.

During steady dye injection into that small vertebral artery, a tiny branch feeding the spinal cord ballooned and burst. Dye flooded the space around the cord, and a scan confirmed widespread bleeding around the brain. The team managed her with medicines alone for ten days. Follow-up scans showed the bleeding had cleared. She left hospital without major deficits and stayed free of new bleeding over three years of checks. The authors blame sustained high-pressure injection and warn against probing such small arteries.

Catalog record

CREATORWenwen Chen, Xiu Shen, Yindan Yao
YEAR2025
COLLECTIONPAPERS
FORMATTXT
FILE SIZE10 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC12699801

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