Posterior decompression of the vertebral artery narrowed by cervical osteophyte: Case report

被引:44
作者
Citow, JS [1 ]
Macdonald, RL [1 ]
机构
[1] Univ Chicago, Pritzker Sch Med, Neurosurg Sect, Chicago, IL 60637 USA
来源
SURGICAL NEUROLOGY | 1999年 / 51卷 / 05期
关键词
cervical osteophyte; spondylosis; surgery; vertebral artery;
D O I
10.1016/S0090-3019(98)00121-9
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND Symptomatic vertebral artery compression caused by cervical spondylosis usually is caused by compression of the artery by osteophytes arising from the uncinate process. Compression from facet joint osteophytes is seldom reported. CASE DESCRIPTION A 69-year-old male developed symptomatic vertebral artery stenosis secondary to an osteophyte arising from the superior facet of the sixth cervical vertebra posterior to the artery. A posterior decompression of the vertebral artery with removal of the offending facet joint complex relieved the patient's transient neurologic events. CONCLUSION Symptomatic vertebral artery stenosis may be caused by osteophytes compressing the vertebral artery anteriorly from the uncinate process or posteriorly from the facet complex. (C) 1999 by Elsevier Science Inc.
引用
收藏
页码:495 / 498
页数:4
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