Multiple symptomatic vertebral artery loops treated with posterior cervical fusion

被引:8
作者
Dandaleh, Nader S. [1 ]
Albert, Gregory W. [1 ]
Hasan, David M. [1 ]
机构
[1] Univ Iowa Hosp & Clin, Dept Neurosurg, Iowa City, IA 52242 USA
关键词
Vertebral artery loops; Vertebral artery tortuosity; Vertebrobasilar insufficiency; BOW-HUNTERS-SYNDROME; VERTEBROBASILAR INSUFFICIENCY; DECOMPRESSION; RADICULOPATHY; SPONDYLOSIS; OCCLUSION; ANGIOGRAPHY; SECONDARY; SPINE;
D O I
10.1016/j.jocn.2009.10.004
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Multiple symptomatic vertebral artery (VA) loops are rare and their management is challenging. A 55-year-old man presented with a 5-year history of frequent episodes of presyncope and mild left C5 radiculopathy that was exacerbated by flexion or extension of his neck. Examination revealed complex left VA loops at C2/3 and C4. The patient underwent posterior cervical fusion which resolved his presyncope and improved his radiculopathy. Posterior cervical fusion is an option for management of patients suffering from symptoms secondary to multiple VA loops. (c) 2009 Elsevier Ltd. All rights reserved.
引用
收藏
页码:788 / 790
页数:3
相关论文
共 16 条
[1]   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
[2]   Tortuous course of the vertebral artery and anterior cervical decompression - A cadaveric and clinical case study [J].
Curylo, LJ ;
Mason, HC ;
Bohlman, HH ;
Yoo, JU .
SPINE, 2000, 25 (22) :2860-2864
[3]   Vascular decompression of a vertebral artery loop producing cervical radiculopathy Case report [J].
Detwiler, PW ;
Porter, RW ;
Harrington, TR ;
Sonntag, VKH ;
Spetzler, RF .
JOURNAL OF NEUROSURGERY, 1998, 89 (03) :485-488
[4]   VERTEBROBASILAR OCCLUSIVE DISEASE IN CHILDREN - RECOGNIZABLE CLINICAL ENTITY [J].
DEVIVO, DC ;
FARRELL, FW .
ARCHIVES OF NEUROLOGY, 1972, 26 (03) :278-&
[5]   Cervical radiculopathy secondary to a tortuous vertebral artery - Case illustration [J].
Horgan, MA ;
Hsu, FPK ;
Frank, EH .
JOURNAL OF NEUROSURGERY, 1998, 89 (03) :489-489
[6]   Anterior vertebral artery decompression with an ultrasonic bone curette to treat bow hunter's syndrome [J].
Kim, K. ;
Isu, T. ;
Morimoto, D. ;
Kominami, S. ;
Kobayashi, S. ;
Teramoto, A. .
ACTA NEUROCHIRURGICA, 2008, 150 (03) :301-303
[7]   Vertebral artery loop causing cervical radiculopathy [J].
Korinth, Marcus C. ;
Mull, Michael .
SURGICAL NEUROLOGY, 2007, 67 (02) :172-173
[8]   Proper management of the rotational vertebral artery occlusion secondary to spondylosis [J].
Ogino, M ;
Kawamoto, T ;
Asakuno, K ;
Maeda, Y ;
Kim, P .
CLINICAL NEUROLOGY AND NEUROSURGERY, 2001, 103 (04) :250-253
[9]   Vertebral artery decompression in a patient with rotational occlusion [J].
Petridis, A. K. ;
Barth, H. ;
Buhl, R. ;
Mehdorn, H. M. .
ACTA NEUROCHIRURGICA, 2008, 150 (04) :391-394
[10]   Vascular reconstruction of a vertebral artery loop causing cervical radiculopathy and vertebrobasilar insufficiency - Case report [J].
Sakaida, H ;
Okada, M ;
Yamamoto, A .
JOURNAL OF NEUROSURGERY, 2001, 94 (01) :145-149