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Paraplegia due to a ruptured aneurysm of the distal posterior inferior cerebellar artery.
  1. S Kashiwagi,
  2. E Tsuchida,
  3. Y Shiroyama,
  4. H Ito,
  5. T Yamashita
  1. Department of Neurosurgery, Yamaguchi University, School of Medicine, Japan.

    Abstract

    A case of paraplegia was due to a ruptured aneurysm of the distal posterior inferior cerebellar artery. The paraplegia was caused by a unilateral lesion located between the cervicomedullary junction and the C2 level, where it involved both crossed and uncrossed pyramidal fibres projecting to the lower extremities. Since a vascular lesion near the cervicomedullary junction is likely to be missed, special attention should be paid to this region when investigating subarachnoid haemorrhage with paraplegia.

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