Paraplegia due to a ruptured aneurysm of the distal posterior inferior cerebellar artery.

Kashiwagi, S; Tsuchida, E; Shiroyama, Y; Ito, H; Yamashita, T · J Neurol Neurosurg Psychiatry · 1992

case_report · Level V

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Abstract

A case of paraplegia was due to a ruptured aneurysm of the distal posterior inferior cerebellar artery. The paraplegia was caused by a unilateral lesion located between the cervicomedullary junction and the C2 level, where it involved both crossed and uncrossed pyramidal fibres projecting to the lower extremities. Since a vascular lesion near the cervicomedullary junction is likely to be missed, special attention should be paid to this region when investigating subarachnoid haemorrhage with paraplegia.

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