{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:27:42Z","timestamp":1761823662751},"reference-count":16,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J NeuroIntervent Surg"],"accepted":{"date-parts":[[2014,5,2]]},"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:p>Posterior spinal artery (PSA) aneurysms are a rare cause of subarachnoid hemorrhage (SAH). The commonly abused street drug 3,4-methylenedioxymethamphetamine (MDMA) or \u2018Ecstasy\u2019 has been linked to both systemic and neurological complications. A teenager presented with neck stiffness, headaches and nausea after ingesting \u2018Ecstasy\u2019. A brain CT was negative for SAH but a CT angiogram suggested cerebral vasculitis. A lumbar puncture showed SAH but a cerebral angiogram was negative. After a spinal MR angiogram identified abnormalities on the dorsal surface of the cervical spinal cord, a spinal angiogram demonstrated a left PSA 2\u2005mm fusiform aneurysm. The patient underwent surgery and the aneurysmal portion of the PSA was excised without postoperative neurological sequelae. \u2018Ecstasy\u2019 can lead to neurovascular inflammation, intracranial hemorrhage, SAH and potentially even de novo aneurysm formation and subsequent rupture. PSA aneurysms may be treated by endovascular proximal vessel occlusion or open surgical excision.<\/jats:p>","DOI":"10.1136\/neurintsurg-2014-011248.rep","type":"journal-article","created":{"date-parts":[[2014,7,9]],"date-time":"2014-07-09T06:50:34Z","timestamp":1404888634000},"page":"e23-e23","update-policy":"http:\/\/dx.doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["Posterior spinal artery aneurysm rupture after \u2018Ecstasy\u2019 abuse"],"prefix":"10.1136","volume":"7","author":[{"given":"Jeremiah","family":"Johnson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shnehal","family":"Patel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Efrat","family":"Saraf-Lavi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad Ali","family":"Aziz-Sultan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dileep R","family":"Yavagal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,7,8]]},"reference":[{"key":"2024052301131355000_7.7.e23.1","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(92)91469-O"},{"key":"2024052301131355000_7.7.e23.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2012.08.031"},{"key":"2024052301131355000_7.7.e23.3","doi-asserted-by":"publisher","DOI":"10.1080\/02688699550041836"},{"key":"2024052301131355000_7.7.e23.4","doi-asserted-by":"publisher","DOI":"10.1007\/s100720200062"},{"key":"2024052301131355000_7.7.e23.5","doi-asserted-by":"publisher","DOI":"10.1177\/159101991001600211"},{"key":"2024052301131355000_7.7.e23.6","first-page":"923","article-title":"Aneurysms of spinal arteries associated with intramedullary arteriovenous malformations. 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