Ruptured anterior spinal artery aneurysm from a herniated cervical disc. A case report and review of the literature

Jonathan Nakhla, Rani Nasser, Reza Yassari, David Pasquale, David J. Altschul

Research output: Contribution to journalArticle

5 Scopus citations


Background: Subarachnoid hemorrhage (SAH) caused by a ruptured cervical anterior spinal artery aneurysm is extremely rare and in the setting of cervical spondylosis. This case presentation reviews the diagnosis, management, and treatment of such aneurysms. Case Presentation: An 88-year-old female presented with the worst headache of her life without focal deficits. She was found to have diffuse SAH in the basal cisterns extending inferiorly down the spinal canal. Review of the neurodiagnostic images revealed an anterior spinal artery aneurysm in the setting of cervical spondylosis. Conclusions: Clinicians should be suspicious of cervical spondylosis as a rare etiology for an SAH when cerebral angiograms prove negative for intracranial aneurysms.

Original languageEnglish (US)
Article number10
JournalSurgical Neurology International
Issue number1
StatePublished - Jan 1 2016



  • Aneurysm
  • cervical
  • spine
  • subarachnoid hemorrhage
  • trauma

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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