{"id":"fc3a613d-ffe5-4881-b72d-d879621cd3ed","slug":"ruptured-venous-aneurysm-of-cervicomedullary-junction","title":"Ruptured venous aneurysm of cervicomedullary junction","authors":["Ashish Aggarwal","Pravin Salunke","Sameer Futane","S. N. Mathuriya","Ajay Kumar","K. K. Mukherjee","B. D. Radotra"],"abstract":"Background: Ruptured venous aneurysm is often seen with arterio-venous malformation (AVM) or developmental venous anomaly (DVA). However, isolated venous aneurysm is unusual. Case Description: We present a case of ruptured venous aneurysm that presented with subarachnoid hemorrhage (SAH) and intraventricular hemorrhage (IVH). Digital substraction angiography (DSA) revealed a saccular contrast filling pouch in the left lateral aspect of cervicomedullary junction (CMJ). Endovascular intervention was not a viable option. During surgery, a saccular pliable structure approx. 1.5 × 1 cm was found in the subarachnoid space that was clipped and excised. There were no arterial feeders, no evidence of surrounding AVM, and no dilated perimedullary vein. Conclusion: This is perhaps the first reported case of ruptured venous aneurysm (without associated AVM) of CMJ, which was successfully managed surgically. The possible etiologies remain an unnoticed head trauma or a congenital vessel wall abnormality. Surgically clipping and excision remains the treatment of choice for such lesion.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/fc3a613d-ffe5-4881-b72d-d879621cd3ed/featured/hero-1782421011815.png","publishDate":"2014-01-14T00:00:00.000Z","doi":"10.4103/2152-7806.124977","categories":["Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/fc3a613d-ffe5-4881-b72d-d879621cd3ed/pdf"}