ÖZET
Abdominal aort anevrizması (AAA) önemli bir hastalıktır ve sıklıkla asemptomatiktir. Lomber kan akışında azalmaya neden olabilir. Lomber arterlerdeki bozulmuş akış, lomber disklerdeki difüzyonun belirgin şekilde azalmasıyla ilişkilidir ve ilerleyici disk hasarına yol açabilir. AAA klinik olarak üst lomber disk hernilerini taklit edebilir. Lomber omurganın üst kısmı alt bölgeden daha az hareketli olduğundan, disk herniasyonu üst lomber bölgede nadiren görülür. Bildiğimiz kadarıyla, literatürde abdominal aort anevrizması ve L2-L3 disk herniasyonu birlikteliği ile ilgili daha önce herhangi bir rapor bulunmamaktadır. Biz üç ay arayla semptomatik AAA ve L2-L3 disk hernisi nedeniyle tedavi edilen 48 yaşında bir erkek hastayı sunuyoruz.
References
1
Jarvik JG, Deyo RA. Diagnostic evaluation of low back pain with emphasis on imaging. Ann Intern Med 2002;137:586-97.
2
Tsuchie H, Miyakoshi N, Kasukawa Y, Nishi T, Abe H, Takeshima M, et al. High prevalence of abdominal aortic aneurysm in patients with chronic low back pain. Tohoku J Exp Med 2013;230:83-6.
3
Kurunlahti M, Tervonen O, Vanharanta H, Ilkko E, Suramo I. Association of atherosclerosis with low back pain and the degree of disc degeneration. Spine (Phila Pa 1976) 1999;24:2080-4.
4
Kurunlahti M, Karppinen J, Haapea M, Niinimäki J, Autio R, Vanharanharanta H, et al. Three-year follow-up of lumbar artery occlusion with magnetic resonance angiography in patients with sciatica: associations between occlusion and patient-reported symptoms. Spine (Phila Pa 1976) 2004;29:1804-8.
5
Kauppila LI, Penttilä A, Karhunen PJ, Lalu K, Hannikainen P. Lumbar disc degeneration and atherosclerosis of the abdominal aorta. Spine (Phila Pa 1976) 1994;19:923-9.
6
Adamec I, Prutki M, Habek M. Abdominal aortic aneurysm mimicking L2-L3 disc herniation. Acta Neurol Belg 2016;116:695-7.
7
Sakalihasan N, Limet R, Defawe OD. Abdominal aortic aneurysm. Lancet 2005;365:1577-89.
8
Kent KC. Clinical practice. Abdominal aortic aneurysms. N Engl J Med 2014;371:2101-8.
9
Takeyachi Y, Yabuki S, Arai I, Midorikawa H, Hoshino S, Chiba K, et al. Changes of low back pain after vascular reconstruction for abdominal aortic aneurysm and high aortic occlusion: a retrospective study. Surg Neurol 2006;66:172-6.
10
Forsdahl SH, Singh K, Solberg S, Jacobsen BK. Risk factors for abdominal aortic aneurysms: a 7-year prospective study: the Tromsø Study, 1994-2001. Circulation 2009;119:2202-8.
11
Beckworth WJ, Holbrook JF, Foster LG, Ward LA, Welle JR. Atherosclerotic Disease and its Relationship to Lumbar Degenerative Disk Disease, Facet Arthritis, and Stenosis With Computed Tomography Angiography. PM R 2018;10:331-7.
12
Miller JA, Schmatz C, Schultz AB. Lumbar disc degeneration: correlation with age, sex, and spine level in 600 autopsy specimens. Spine (Phila Pa 1976) 1988;13:173-8.
13
Kim NS, Kang SH, Park SY. Coexistence of expanding abdominal aortic aneurysm and aggravated intervertebral disc extrusion -a case report-. Korean J Anesthesiol 2013;65:345-8.
14
Trompeter AJ, Paremain GP. Incidental abdominal aortic aneurysm on lumbosacral magnetic resonance imaging - a case series. Magn Reson Imaging 2010;28:455-7.
15
Kauppila LI. Atherosclerosis and disc degeneration/low-back pain--a systematic review. Eur J Vasc Endovasc Surg 2009;37:661-70.
16
Kim DS, Lee JK, Jang JW, Ko BS, Lee JH, Kim SH. Clinical features and treatments of upper lumbar disc herniations. J Korean Neurosurg Soc 2010;48:119-24.
17
Porchet F, Fankhauser H, de Tribolet N. Extreme lateral lumbar disc herniation: clinical presentation in 178 patients. Acta Neurochir (Wien) 1994;127:203-9.
18
Karaaslan B, Aslan A, Börcek AÖ, Kaymaz M. Clinical and surgical outcomes of upper lumbar disc herniations: a retrospective study. Turk J Med Sci 2017;47:1157-60.
