Rupture of dissection aneurysm of the vertebral artery followed by formation of epidural hematoma of the cervical spine: case report full text online in English

Dissection aneurysms of the vertebral artery are a rare pathology occurring mainly in young people. Their most frequent manifestation is pain, which might be accompanied by cerebral ischemia events. Also rare is hemorrhage, with just one case described in literature. In our study, hemorrhage from a dissection aneurysm of the vertebral artery in a 37-year-old male led to the formation of an epidural hematoma of the cervical spine, which is unique and has never manifested itself when treating this pathology. Nevertheless, reconstructive surgery was a success, with the aneurysm removed and the vertebral artery lumen preserved.