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Journal of Korean Neurosurgical Society 2007;42(6): 484-486.
doi: https://doi.org/10.3340/jkns.2007.42.6.484
Radiculopathy Caused by Internal Iliac Artery Pseudoaneurysm Managed with Endovascular Embolization.
Il Choi, Soo Bin Im, Bum Tae Kim, Won Han Shin
Department of Neurosurgery, College of Medicine, Soonchunhyang University, Bucheon, Korea. isbrzw@sch.ac.kr
The authors describe a case of pseudoaneurysm arising from internal iliac artery presented with radiculopathy mimicking the symptoms of lumbar disc disease or spinal cord tumor. Among the several preoperative evaluation including CT, MRI, electrophysiologic study and ultrasonography, important diagnostic clue was obtained by ultrasonographic findings of turbulence flow at the core of partially enhanced mass in the pelvic cavity. The patient was managed with endovascular coil embolization successfully. The current case makes us remind that assessment of neurological symptoms on lower extremity should include consideration of extraspinal cause in pelvis.
Key Words: Pseudoaneurysm; Internal iliac artery; Radiculopathy; Endovascular embolization
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