Lower extremity monoparesis after aneurysmal subarachnoid hemorrhage

Clin Neurol Neurosurg. 2010 Oct;112(8):710-2. doi: 10.1016/j.clineuro.2010.04.016. Epub 2010 May 18.

Abstract

Two patients presented with acute subarachnoid hemorrhage from a ruptured intracranial aneurysm. Both patients were treated via endovascular coil embolization, and both developed delayed lower extremity monoparesis without associated symptoms that resolved over the ensuing months. An extensive work-up lead us to propose the following hypothesis: the painless peripheral neuropathy likely resulted from nerve root irritation from abundant subarachnoid blood in the lumbar cistern.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, Ruptured / complications*
  • Aneurysm, Ruptured / therapy
  • Embolization, Therapeutic
  • Female
  • Humans
  • Intracranial Aneurysm / complications*
  • Intracranial Aneurysm / therapy
  • Lower Extremity
  • Middle Aged
  • Muscle Weakness / etiology*
  • Paresis / etiology
  • Radiculopathy / etiology
  • Rupture, Spontaneous / complications
  • Rupture, Spontaneous / therapy
  • Subarachnoid Hemorrhage / complications*
  • Subarachnoid Hemorrhage / therapy
  • Time Factors
  • Treatment Outcome