Vertebral Artery Stenosis Caused by Cervical Osteophyte: A Rare and Reversible Cause of Vertebrobasilar Insufficiency. Case Report

被引：0

作者：

Cembraneli, Pedro Nogarotto ^{[1
]}

de Faria Cavalcante, Julia Brasileiro ^{[1
]}

de Faria Cavalcante, Renata Brasileiro ^{[1
]}

Cembraneli, Italo Nogarotto ^{[2
]}

Lopes, Leonardo Taveira ^{[1
]}

da Silva Cavalcante, Jose Edison ^{[1
]}

Cardoso, Alessandro Fonseca ^{[1
]}

Cardoso, Chrystiano Fonseca ^{[1
]}

Zanini, Marco Antonio ^{[3
]}

机构：

[1] Hosp Neurol Santa Monica, Dept Neurosurg, Goiania, Go, Brazil

[2] Ctr Univ Mineiros, Univ Med, Mineiros, Go, Brazil

[3] Sao Paulo State Univ, Dept Neurosurg, Botucatu, SP, Brazil

来源：

BRAZILIAN NEUROSURGERY-ARQUIVOS BRASILEIROS DE NEUROCIRURGIA | 2024年 / 43卷 / 04期

关键词：

vertebral artery; vertebrobasilar insufficiency; osteophyte; Bow Hunter's Syndrome; art & eacute; ria vertebral; insufici & ecirc; ncia vertebrobasilar; oste & oacute; fito; S & iacute; ndrome de Bow Hunter; BOW HUNTERS SYNDROME; DECOMPRESSION; MANAGEMENT; DIAGNOSIS; RECONSTRUCTION;

D O I：

10.1055/s-0044-1795135

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Bow Hunter syndrome manifests when the vertebral artery is compressed following head rotation. Symptomatic compression with vertebral artery stenosis due to cervical osteophytes is a rare cause and occurs due to a progressive degenerative process. In most cases, compression originates anteromedially from the uncinate process and is asymptomatic due to the competence of the contralateral vertebral artery. In the described patient, compression presented superomedially due to osteophytes in the superior articular facet of the C5 vertebra, and the contralateral vertebral artery was obstructed. Careful evaluation with imaging, mainly preoperative 3D angiotomography, is necessary to determine the most beneficial approach for decompression. The treatment of choice for symptomatic compression induced by cervical spondylosis is decompression surgery.

引用

页码：e365 / e368

页数：4

共 30 条

[1] Surgical reconstruction of the extracranial vertebral artery: Management and outcome [J].

Berguer, R ;

Flynn, LM ;

Kline, RA ;

Caplan, L .

JOURNAL OF VASCULAR SURGERY, 2000, 31 (01) :9-16

[2] Rotational vertebral artery insufficiency resulting from cervical spondylosis: case report and review of the literature [J].

Bulsara, KR ;

Velez, DA ;

Villavicencio, A .

SURGICAL NEUROLOGY, 2006, 65 (06) :625-627

[3] Vertebral Artery Stenosis: A Narrative Review [J].

Burle, Venkata Sathya ;

Panjwani, Amelia ;

Mandalaneni, Kesava ;

Kollu, Sunitha ;

Gorantla, Vasavi Rakesh .

CUREUS JOURNAL OF MEDICAL SCIENCE, 2022, 14 (08)

[4] Cervical spondylotic myelopathy: 10 years of prospective outcome analysis of anterior decompression and fusion [J].

Chagas, H ;

Domingues, F ;

Aversa, A ;

Fonseca, ALV ;

de Souza, JM .

SURGICAL NEUROLOGY, 2005, 64 :S30-S36

[5] Posterior decompression of the vertebral artery narrowed by cervical osteophyte: Case report [J].

Citow, JS ;

Macdonald, RL .

SURGICAL NEUROLOGY, 1999, 51 (05) :495-498

[6] Vertebral artery stenosis [J].

Cloud G.C. ;

Markus H.S. .

Current Treatment Options in Cardiovascular Medicine, 2004, 6 (2) :121-127

[7] Cervical spondylosis: a rare and curable cause of vertebrobasilar insufficiency [J].

Denis, Daniel J. ;

Shedid, Daniel ;

Shehadeh, Mohammad ;

Weil, Alexander G. ;

Lanthier, Sylvain .

EUROPEAN SPINE JOURNAL, 2014, 23 :S206-S213

[8] Advances in the Pathogenesis, Diagnosis and Treatment of Bow Hunter's Syndrome: A Comprehensive Review of the Literature [J].

Duan, Guangxin ;

Xu, Jiaping ;

Shi, Jijun ;

Cao, Yongjun .

INTERVENTIONAL NEUROLOGY, 2016, 5 (1-2) :29-38

[9] Diagnosis and initial management of cerebellar infarction [J].

Edlow, Jonathan A. ;

Newman-Toker, David E. ;

Savitz, Sean I. .

LANCET NEUROLOGY, 2008, 7 (10) :951-964

[10] Utility of Intraoperative Ultrasound in Neurosurgery [J].

Faria Mendez, Gustavo Enrique ;

Roa Chacon, Cesar Jose ;

Brito Nunez, Nafxiel Jesus ;

Zerpa, Jose Ramon .

BRAZILIAN NEUROSURGERY-ARQUIVOS BRASILEIROS DE NEUROCIRURGIA, 2021, 40 (02) :E113-E119

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