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Ruptured aneurysm of the artery of Adamkiewicz as a rare cause of spinal cord injury
  1. Andrew Hiett1,
  2. Zachary Gaughan2,
  3. Keith Polston1 and
  4. Megan Clark1
  1. 1Department of Physical Medicine and Rehabilitation, University of Kansas Medical Center, Kansas City, Kansas, USA
  2. 2Department of Radiology, University of Missouri, Kansas City, Missouri, USA
  1. Correspondence to Dr Andrew Hiett; ahiett2{at}


This case report describes a patient who presented with low back pain, headache and urinary retention. He developed altered mental status with right lower extremity hemiparesis. He was subsequently found to have subarachnoid haemorrhage and was ultimately diagnosed with a ruptured aneurysm of the artery of Adamkiewicz. At 11-week follow-up, he had made a significant recovery and was functioning at a modified independent level. This case report explores previous cases of ruptured artery of Adamkiewicz aneurysms as a rare cause of spinal cord injury, and discusses management and recovery for these injuries.

  • Disability
  • Physiotherapy (rehabilitation)
  • Spinal cord

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  • Contributors AH and ZG were responsible for chart review of the patient’s case as well as literature review of previous cases. ZG was responsible for imaging interpretation and figure captions. AH and KP were responsible for initial drafting of the manuscript. All authors were responsible for manuscript editing. AH was responsible for computer-generated illustrations.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.